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A Montrose County Weed Mitigation Department <br />161 S. Townsend Ave, Montrose, CO 81401 <br />Date:71711--f-Location: Az lnvi5l— <br />Start Time: 16:4150 Address: <br />End Time: Contact Info: Justin Musser, Manager 249-5216 <br />Mileage Start:Mileage End: <br />EaM End West End ROW <br />BLM 0 CDOT 8 Airport <br />Tank/Herbicide #: <br />Herbicide Applied: "A <br />EPA Reg. #: ofo <br />Manufacturer Td <br />Application Rate ,3a , / to the Acre <br />V <br />Tank/Herbicide #: <br />Herbicide Applied: <br />EPA Reg. #: <br />Manufacturer. <br />Application Rate <br />Tank/Herbicide #: _ <br />Herbicide Applied: <br />EPA Reg. #: - .— <br />Manufacturer. <br />Application Rate ld 4/4%4 / to the Acre <br />Grant Funded Facilities USFS <br />Special Project 8 Other Gov. Other AgencyB <br />Tank/Herbicide #: <br />Herbicide Applied: <br />EPA Reg. #: <br />Manufacturer. <br />Application Rate to the Acre <br />Surfactant Applied: Guardian Plus <br />Manufacturer. Combelt <br />Application Rate: 1.5 quarts per/100 gal carrier <br />Surfactant Applied: Premier 90 <br />Manufacturer Combelt <br />Application Rate: 1 quart per/100 gal carrier <br />Dye Used: <br />Other. <br />Other. <br />Target Species: [:] HC E] RKW [:] SKW [:] YST [—] YTF E] PLS 0 Broadleaves Grasses <br />Other <br />Application Type: [] Truck UTV [] Argo F] Backpack M Mechanical Other <br />Transportation:WE <br />03 Chevy 06 Chevy Ford Dodge Tandem Axle Single Axle <br />Tank # I Total Herbicide I Acres Treated I Gallons Water <br />Total Cost: <br />Labor: <br />Herbicide: <br />Adjuvant: <br />Applicator Name <br />Total Acres Treated <br />NPDES Application f} <br />Vegetation Conditions <br />Notes: