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05/29/2014 16:35 3038161702 PAGE 05 <br />u <br />19394 $liver Ranch Road <br />Foothills Vegetation Management, Inc. Conifer, CO 80433 <br />Phone 303-697-5424 <br />APPUCATOR(S) <br />- Fax 303-697.229 <br />Pesticide Application Record <br />Application perfogped for <br />,JJ;.5lddress on file <br />Worksite location <br />Date . <br />Travel Time <br />Time� �?r70 � QO <br />Temp <br />Wind <br />Site/Crop/Commodity Treated <br />Specific PestkAde(s) Applied <br />Product h P Am&EPA REG. If <br />Product EPA EPA REG.i0 >7/�! —S —J� <br />Product 46sc,orT EPA REG. N .J 672 f 4141 <br />-r 0 m ` <br />fit l Area 7 Total Material <br />r%-1tion/Applitat�on Rate <br />7 <br />l' Applied at / o gpa <br />Applied at _ G= /¢,.,. 1I% Bpa <br />carr ,1' Applied at Bpa <br />PiC� % Applied at �� gPa <br />icer [ O <br />`. L <br />2- o- <br />Surfacta /Adjuvant se <br />` , L @ - (� 'y0 1 /G Cs 1(1 Total <br />Total (3'� <br />3S <br />STAY OFF SPRAYED AREAS UNTIL DRY <br />COMMERCIAL APPLICATORS ARE LICENCED BY THE COLORADO DEPARTMENT OF AGRICULTURE <br />