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Montrose County Weed Mitigation Department <br />161 S. Townsend Ave, Montrose, CO 81401 <br />Date: Location: �o�rziA, Ar`f <br />Start Time: Address: <br />End Time: Contact Info: Justin Musser, Manager 249-5216 <br />Mileage Start: Mileage End: <br />East End <br />Herbicide Applied: <br />West End <br />EPA Reg. #: <br />E <br />ROW/Gravel PitGrant <br />Funded <br />8 <br />Application Rate <br />BLM <br />Surfactant Applied: <br />Guardian Plus <br />CDOT <br />Combelt <br />Application Rate: <br />Airport <br />Surfactant Applied: <br />Special Project <br />Tank/Herbicide #: <br />Herbicide Applied: <br />EPA Reg. #:: <br />Manufacturer. <br />Application Rate <br />Tank/Herbicide A: <br />Herbicide Applied: <br />EPA Reg. #: <br />Manufacturer. <br />Application Rate <br />Tank/Herbicide #: <br />Herbicide Applied: <br />EPA Reg. #: <br />Manufacturer. <br />Application Rate <br />/ to the Acre <br />Facilities USFS <br />Other Gov. 8 Other Agency <br />Tank/Herbicide #: <br />Herbicide Applied: <br />EPA Reg. #: <br />Manufacturer. <br />Application Rate <br />/ to the Acre <br />Surfactant Applied: <br />Guardian Plus <br />Manufacturer <br />Combelt <br />Application Rate: <br />1.5 quarts per/100 gal carrier <br />Surfactant Applied: <br />Premier 90 <br />Manufacturer. <br />Combelt <br />Application Rate:1 <br />quart per/100 gal carrier <br />Dye Used: <br />Other: <br />Other: <br />Target Species: [:] HC E] RKW F-1 SKW [:] YST [—] YTF [:] PLS 4 Broadleaves Og Grasses <br />Other: <br />Application Type: 1:1 Truck M UTV E] Argo [-] Backpack ❑ Mechanical 0 Other =�LA <br />Transportation: 11 03 Chevy E] 06 Chevy Ford Dodge E] Tandem Axle [] Single Axle <br />ank # Total Herbicide Acres Treated Gallons Water Applicator Name L" <br />Total Acres Treated � <br />NPDES Application <br />Vegetation Conditions <br />III! <br />• = .. _,i, 111111111Pi r <br />Total Cost: <br />Labor: <br />Herbicide: <br />Adjuvant: <br />