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Habitat Management,Inc. <br /> Commercial Herbicide Applicator(CO#11318) <br /> Herbicide Application Record Habitat Management <br /> 141nve-OriW East,Suite A-100,Englewood,CO 90112 <br /> Location: Climax Mine <br /> PDWTP Wetland <br /> Date: 7/22/2016 9:16 AM to 11:20 AM <br /> Customer: Climax Mine and Mill Hwy 91 Leadville,CO 80461 <br /> Qualified Supervisor: Matt Clark#29724 <br /> Applicators: Jess Feeback,Other,see comment Marta Agote <br /> Weather: Sunny 65 degrees F. Wind: 1-5 mph mph out of NW <br /> Site/Crop: Reclamation/Revegetation Area <br /> Target Plants: Thistle,Canada-Cirsium arvense-List B,Toadflax,Yellow-Linaria vulgaris-List B <br /> Application Equipment: Backpack Sprayer Application Method: Spot-Spraying Carrier:Water <br /> Herbicide Applied Application Rate Total Amount Applied Dilution Rate <br /> Weedestro AM40-228145-2,4-D 1.5 fl oz er allon 13.5 fl oz 0.05 fl oz per gallon <br /> _ Y p 9 <br /> Induce-Adjuvant 0.5 fl oz per gallon 1 4.5 fl oz 0.02 fl oz per gallon <br /> L_ Spray Indicator-Blue Dye 1 fl oz per gallon 9 fl oz 0.03 fl oz per gallon <br /> Total Application: 9 gallon <br /> Treated Dandelion plants <br /> NPDES COMPLIANCE(Only Applicable to Aquatic Sites) <br /> Aquatic site: No <br /> Use Pattern:Weeds and Algae <br /> Is equipment properly calibrated? <br /> Did you conduct visual monitoring for adverse incidents? <br /> Were any adverse incidents identified? <br />