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10/02/2013 04:09 3038151702 PAGE 04 <br />19394 Slim Ranch Road <br />Foothills Vegetation Management, Inc. <br />Conifer, CO e0439 <br />Phone 303-697-5419 <br />APPLICATOR(S) Ac" <br />Fax 303-697-4229 <br />Pesticide Application Record <br />Application performed for <br />AZAA <br />4 4"a e. '-z f , , , I e <br />.1""rew on Ale <br />Worksite location <br />Dau /G — Z -- <br />Trawl Time�►t_•'eL,4n- <br />Time %. Jin — 2,' �70�►r <br />Temp .�`�� --- �►� a <br />wind 3 7 <br />Target Peu(S) / IIMIZi VV - <br />Ske/Crop/Commodky Treated t1lam• <br />Specl lc Pesticlde(S) Appilled <br />Product FTI al t <br />Product <br />Product B -6OL(. <br />Dilution/Application Rate <br />..E&!gty:._ Applied at CS <br />-�J Applied at _@ <br />Iva -t -i CLU APP11d at �11124- .0 <br />Surfactant/Ad went Use <br />VO <br />i <br />EPA REG.* - & c>- 7/ q-- �tT <br />EPA REG.# <br />EPA REG. 9 2 `� <br />Total Area <br />gpe <br />.. � 9P• <br />We <br />SIN <br />Total M�ate-ri�arl-- <br />& : 4pi>> / �100 Total 2 ?d= �-- <br />% Total % ® -7- <br />C"sm; ( <br />6YE&K <br />k.® <br />STAY OFF SPRAYED AREAS UNTIL DRY <br />COMMERCIAL APPLICATORS ARE LICENCED BY THE COLORADO DEPARTMENT OF AGRICULTURE <br />