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UNITED STATE DEPARTMENT OF THE INTERIOR <br />BUREAU OF LAND MANAGEMENT <br />PESTICIDE USE PROPOSAL <br />STATE: _______________________________ DATE: ___________________________________ <br />COUNTY: _____________________________ PROPOSAL NUMBER: _____________________ <br />DISTRICT: _____________________________ EA REFERENCE NUMBER: _________________ <br />DURATION OF PROPOSAL: ______________ DECISION RECORD (DR) NUMBER: _________ <br />LOCATION: ____________________________ <br /> _________________________________________________________________________ <br /> _________________________________________________________________________ <br />ORIGINATOR – NAME: _______________________________________________________________ <br />ORIGINATOR – COMPANY: ___________________________________________________________ <br />ORIGINATOR – CONTACT INFORMATION: _____________________________________________ <br />PROPOSAL PREPARER - NAME: _______________________________________________________ <br />PROPOSAL PREPARER – COMPANY: __________________________________________________ <br />PROPOSAL PREPARER – CONTACT INFORMATION: ____________________________________ <br />I. APPLICATION INFORMATION – Including mixtures and adjuvants): <br />1. TRADE NAME(S): _____________________________________________________________ <br />2. COMMON NAME(S) ___________________________________________________________ <br />3. EPA REGISTRATION NUMBER(S): ______________________________________________ <br />4. MANUFACTURER(S): _________________________________________________________ <br />5. METHOD OF APPLICATION: ___________________________________________________ <br />6. MAXIMUM RATE OF APPLICATION – AS STATED IN THE EIS: <br />a. Pounds Active Ingredient or Acid Equivalent: __________________________________ <br />7. MAXIMUM RATE OF APPLICATION – AS STATED ON THE LABEL: <br />a. Formulated Product: ______________________________________________________ <br />b. Pounds Active Ingredient or Acid Equivalent: __________________________________ <br />8. INTENDED RATE OF APPLICATION: <br />a. Formulated Product: ______________________________________________________ <br />b. Pounds Active Ingredient or Acid Equivalent: __________________________________ <br />9. APPLICATION DATE(S): _______________________________________________________ <br />10. NUMBER OF APPLICATIONS: _____________________ <br />Colorado <br />Eagle <br />Colorado River Valley Field Office-BLM <br />2019 <br />Dotsero Quarry <br />M-1987-074 <br />Dotsero, Colorado <br />Michael Leidich <br />Mayne Block and Stone Company <br />303-241-4994 <br />Anthony Matthews <br />Habitat Management Inc. -Englewood, Colorado Office <br />Cell-303264-4519 Office- 303-770-9788 ext. 105 <br />Weed Whrap LV-6D <br />2,4 D <br />5905-508 <br />Helena Chemical Company <br />Spot spray with backpack sprayer or UTV spray rig <br />N/A <br />2, 4-Dichlorophenoxyacetic acid <br />2 lbs. active ingredient per acre <br />2 pints/acre <br />1.4 lb/acre <br />Appropriate timing for application to targeted species <br />2 Treatments per year