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PAGE as <br />09/83/2014 17:23 3036161702.__---•- <br />19394 Silvw Ranch Road <br />Inc.Con'�fer, Co 80433 <br />Foothills Vegetation Management, 97-�xa <br />Foo Phone 303-6 <br />�7 Fax 303-697.4229 <br />APPL"TOR(s) <br />Pesticide Application Record r� <br />Application pet�yned for <br />Ej Address On l0e <br />Worksite location <br />Target rest(s) �w - <br />Site/CroP/CommodkV Treated <br />specific Pestiled <br />Product / <br />Product <br />Product <br />Date !� <br />Travel Time 7 <br />Time ; <br />TemP �'sg <br />Wind 7 -�— <br />EPA REG. N <br />EPA REG.# <br />EPA REG. N <br />Total Area Total Material <br />Di o'n/ApPRcation Bate <br />Applied at / --'L— $Pa <br />Applied at 9118 <br />Applied at dpo <br />Applied at @ BPa <br />Surfactant/Adjuvant Use <br />—Total -3 <br />zTotal L c9 <br />STAY OFF SPRAYED AREAS UNTIL DRY <br />COMMERCIAL APPLICATORS ARE LICENCED BY THE COLORADO DEPARTMENT OF AGRICULTURE <br />