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Montrose County Weed Mitigation Department <br />161 S. Townsend Ave, Montrose, `CO 81401 <br />Date: i y l S— Location:,; <br />Start Time: - - /�; qo Address: <br />End Time: - -�7 • j Contact Info: Justin Musser, Manager 249-5216 <br />Mileage Start: `S�a Mileage End: I?&0_T <br />East End West End ROW 4Grant Funded Facilities USFS <br />BLM 8CDOT Special Project Other Gov. <br />HAirport Other Agency <br />8 9 cy <br />8 <br />Tank/Herbicide #:Tti.I�G,; <br />Herbicide Applied: <br />EPA Reg. #: Cum' <br />Manufacturer: D6 , r <br />Application Rate to the Acre <br />Tank/Herbicide #: <br />Herbicide Applied: <br />EPA Reg. #: <br />Manufacturer: <br />Application Rate / to the Acre <br />Tank/Herbicide #: <br />Herbicide Applied: <br />EPA Reg. #: <br />Manufacturer: <br />Application Rate / to the Acre <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 />Cornbelt <br />Application Rate: <br />1.5 quarts per/100 gal carrier <br />Surfactant Applied: <br />Premier 90 <br />Manufacturer: <br />Cornbelt <br />Application Rate: <br />_ <br />1 quart per/100 gal carrier <br />Dye Used: <br />Other: <br />Other: <br />Target Species: HC [_� RKW 0 SKW F-] YST E] YTF 0 PLS 0 Broadleaves 0 Grasses <br />Other: <br />Application Type: NJ Truck ❑ UTV F� Argo 0 Backpack F-] Mechanical F-] Other <br />Transportation: a 03 Chevy 706 Chevy 0 Ford <br />Tank # Total Herbicide Acres Treated Gallons Water <br />I , � "2 /'y <br />Total Cost: <br />Labor: <br />Herbicide: <br />Adjuvant: <br />Dodge 1:1 Tandem Axle FISingle Axle <br />Applicator Name K- z4 <br />Total Acres Treated y <br />NPDES Application _ <br />Vegetation Conditions <br />Notes: <br />