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05/29/2014 16:35 3038161702 PAGE 04 <br />Foothills Vegetation Management, Inc. 193"Sihee►Ranch Road <br />Conifer, CO 80433 <br />APPLICATOR(S) C Phone 303-1197-sm <br />Fan 3036974229 <br />Pesticide Application Record <br />Application performed for <br />Worksite location <br />Target Pest(s) <br />Site/Crop/Commodity Trued <br />Specific Pestici e(s) Applied <br />Product = e4C <br />=_.= <br />.dress on file <br />Date 5-7--2J` — /-Y- <br />T�epraJ, 7 <br />EPA REG. sr <br />EPA REG.# <br />EPA REG. fl <br />/Application Rate �. Total Area Total M�-&e- <br />Applied <br />Applied at i J �► B112 �i��' ! 7J o1- <br />Applied at 0 go <br />Applied at 0 lips <br />Applied at ! 9pa <br />Surfactant/Adjuvant Use <br />Total �ZD <br />Total Zai <br />STAY OFF SPRAYED AREAS UIML DRY <br />COMMERCIAL APPLICATORS ARE LICENCED BY THE COLORADO DEPARTMENT OF AGRICULTURE <br />