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Habitat Management, Inc. <br />Commercial Herbicide Applicator (CO #11318) <br />Herbicide Application Record <br />Location: Cresson Project -CCBV Gold Mine <br />SQUAW GULCH <br />Date: 7/14/2016 7:22 AM to 2:08 PM <br />Customer: Newmont Mirdng Corporation 100 N. 3rd SL Victor, CO 80860 <br />Qualified Supervisor. Anthony Matthews #28497 <br />Applicators: Anthony Matthews, Matt Claris, Jess Feeback <br />Weather: Partly Cloudy 76 degrees F. Wind: 1.5 mph mph out of N <br />Site/Crop: Disturbed Area <br />Habitat Management <br />14 k r . Ori.. L tl. Sde. A -IM, E,%k— 4 m SPI12 <br />Target Plants: Bindweed, Field - Convolvulus arvensis -List C, Mullen, common- Verbascum thapsus -List C, Thistle, Bull - <br />Cirsium vulgare - List B, Thistle, Canada - Cirsium arvense - List B, Thistle, Musk - Carduus nutans - List B, Toadflax, Dalmatian - <br />Linaria dalmaticalgenistifolia- List B, Toadfiax, Yellow- Linaria vulgaris - List B <br />Application Equipment: Orange Kubota Application Method: Spot -Spraying Carrier: Water <br />Herbicide Applied Application Rate otalAmountApplledll Dilution Rate <br />Spray Indicator - Blue Dye 16 fl oz per acre 16 fl oz 0.27 fl oz per gallon <br />MSO -Adjuvant 16 fl oz per acre 16 fl oz 0.27 fl oz per gallon <br />Telar XP - 352654 - Ctdorsulfixon 1 fl oz er acre 111 oz 0.02 fl oz per gallon <br />Weedestro AM40 - 228145 -2,4-D 32 ft oz per acre 32 fl oz 0.53 fl oz eergal!lnjl <br />Total Application: 1 acre <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?