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Foothills Vegetation Management, Inc. 19394 Silver Ranch Road <br />Conifer, CO 84433 <br />Phone 343-697-5424 <br />APPLICATOR(S) t�C% ��� L (���� " <br />Fax 303-697-4229 <br />Pesticide Application Record <br />Application performed for <br />4 r S- u `fir',+�-- <br />13 Address on file <br />Worksite location <br />Date '�11/Zt)/II <br />Travel Time '15' <br />Time 1i- 7 i c <br />Temp <br />/�>r�� <br />Wind '"` O - -z- <br />Target Pest(s) i ,�r� u.ee. 6)�'�0 cif `� C Z`S <br />Site/Crop/Commodity Treated 1 i Ick. t <br />Specific Pesticide(sj Applied <br />Product k � �=c t v 2_1 <br />EPA REG. # <br />Product EPA REG. # <br />Product EPA REG. # <br />Dilution/Application Rate t <br />Applied at `t 7S o`" @ gpa <br />Applied at gpa <br />Applied at @ gpa <br />Applied at Ow gpa <br />Total Area Total Material <br />Surfactant/Adjuvant Use <br />�- �4 . iC�r�� Total <br />Total <br />10 c='.:.- <br />STAY OFF SPRAYED AREAS UNTIL DRY <br />COMMERCIAL APPLICATORS ARE LICENCED BY THE COLORADO DEPARTMENT OF AGRICULTURE <br />