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La Plata County Weed Office Work Order ❑County ❑USFS <br /> Date: Contractor W <br /> T <br /> Work Order Number: tC 15— <br /> Job Location: Feifo&f4 — L.- <br /> C►-rJ `fit <br /> Weeds Identified: �^ <br /> Herbicides Required: <br /> Rate <br /> Equipment to be used: <br /> Contractor Note: Acceptable GPS Data Projection will be NAD 83 State <br /> Plane Colorado South (Fully Edited Shape Files) <br /> Email verification: Email the County Weed Office upon receipt of this work order that you will <br /> proceed on the date of _ <br /> Inspection and Evaluation (Weed Office Staff Only) <br /> Fill in Boxes: Y=Yes, S=Some,N=No. <br /> Inspector Name: <br /> Treatment Date: _ <br /> Inspection Date: DAT <br /> GPS Shape Files Date Sub: ❑Acceptable ❑Not Acceptable <br /> WOTUS Shape Files Date Sub: ❑Acceptable ❑Not Acceptable <br /> Within 3 Days After Treatment. <br /> ❑Tire Tracks ❑Plants Wilting ❑Edges of Leaves Yellowing ❑Dye Visible <br /> Estimated Percentage of Kill % ❑Off Target Damage <br /> 10 Days or Longer After Treatment. <br /> ❑Tire Tracks ❑Plants Wilting ❑Edges of leaves yellowing ❑Mortality Evident <br /> Estimated Percentage of Kill % ❑Off Target Damage <br /> Field Photo#'s <br /> Fall Root Crown Inspection Date El New Growth Visible <br /> ❑See Additional Notes on Reverse <br />