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Foothills Vegetation Management <br />19394 Silver Ranch Road <br />Conifer, CO 80433 <br />Phone: 303-697-5424 <br />Fax: 303-697-4229 <br />Pesticide Application Record <br />1 of 2 <br />APPLICATOR(S) Ken Shackelton <br />Application performed for <br />Date 9/10/2013 <br />Aggregate Industries Time 7:45am-3:15pm <br />T. time 30 min <br />Temp 60's <br />address on file Wind 0 <br />Worksite Location Thornton <br />Target Pest(s) tamarisk, Russian olive, purple loosestrife <br />Site/Crop/Commodity Treated industrial, aquatic <br />Specific Pesticide(s) Applied <br />Product Polaris <br />Product <br />EPA REG.# <br />EPA REG.# <br />228-570 <br />Product EPA REG.# <br />Dilution/Application Rate Total Area Total Material <br />Polaris Applied at 1.50% <br />@ gpa. 15 gat. <br />Applied at @ gpa. <br />Applied at <br />Applied at <br />@ gpa- <br />@ gpa. <br />Surfactant/Adjuvant Use <br />Dyneamic @ 64oz/100g Total 9.6 oz <br />Highlight @ 4oz/l0g Total 6 oz <br />29 oz <br />STAY OFF SPRAYED AREAS UNTIL DRY <br />COMMERCIAL APPLICATORS ARE LICENCED BY THE COLORADO DEPARTMENT OF AGRICULTUI <br />9/12/2013 Page 1 <br />