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Foothills Vegetation Management, Inc. 19394 Silver Ranch Road <br />Conifer, CO 80433 <br />Phone 303-697-5424 <br />APPLICATOR(S) <br />Fax 303-697-4229 <br />Pesticide Application Record <br />Application performed for <br />Q Address on file <br />Worksite location ono ( t`.A v n <br />Target Pest(s) <br />Site/Crop/Commodity Treated -7 �^, c ­� `tet' < <" \ <br />Specific Pesticide(s) Applied <br />Product <br />Product <br />Product <br />Dilution/Application Rate <br />Date q ---L' - 15 <br />Travel Time z-- r'\ ; r\ <br /><7 <br />Time —7: -A 75C) <br />Temp '%y'S <br />Wind v <br />EPA REG. # C -7 19 _� 7 <br />EPA REG. # <br />EPA REG.# <br />t t: t <br />CCtiCt�,� Applied at »�.^-'� - gpa <br />Applied at Q' gpa <br />Applied at @ gpa <br />Applied at &D gpa <br />Surfactant/Adjuvant Use <br />Total Area <br />D Total <br />AS Total <br />Total Material <br />P G_ <br />bZ <br />STAY OFF SPRAYED AREAS UNTIL DRY <br />COMMERCIAL APPLICATORS ARE LICENCED BY THE COLORADO DEPARTMENT OF AGRICULTURE <br />