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i- • Montrose County Weed Mitigation Department <br />161 S. Townsend Ave, Montrose, CO 81401 <br />Date: 3% I S Location:a,,i ,; <br />J a7-5 <br />Start Time: 6,'06 Address: <br />End Time: .'06 Contact Info: Justin Musser, Manager 249-5216 <br />Mileage Start: /A Mileage End: <br />East End West End ROW/Gravel Pit Grant Funded Facilities USFS <br />BLM CDOT Airport 8 Special Project Other Gov. Other AgencyH8gey <br />Tank/Herbicide #: <br />Herbicide Applied: <br />EPA Reg. #: <br />Manufacturer. <br />Application Rate / to the Acre <br />Tank/Herbicide #: <br />Herbicide Applied: <br />EPA Reg. #: <br />Manufacturer. <br />Application Rate / to the Acre <br />Tank/Herbicide #: <br />Herbicide Applied: <br />EPA Reg. #: <br />Manufacturer. <br />Application Rate / to the Acre <br />TanklHerbicide #: <br />Herbicide Applied: <br />EPA Reg. #: <br />Manufacturer: <br />Application Rate to the Acre <br />Surfactant Applied: Guardian Pius <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: E] HC E] RKW F-1 SKW EJ YST EJ YTF F-1 PLS M Broadleaves E] Grasses <br />Other. <br />Application Type: M Truck E] UTV [] Argo <br />Transportation: [] 03 Chevy [] 06 Chevy Ford <br />Tank # I Total Herbicide I Acres Treated 1 Gallons Water I <br />Total Cost: <br />Labor. <br />Herbicide: <br />Adjuvant: <br />Backpack [:] Mechanical [] other <br />Dodge Tandem Axle 11 Single Axle <br />Applicator Name <br />Total Acres Treated <br />NPDES Application <br />Vegetation Conditions <br />Notes - <br />N W1 1WA <br />1MM.-