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12/01/2003 14:20 9706410954 VALCO INC PAGE 04 <br />COMMERCIAL APPLICATORS ARE LICENSED BY TF~ COLORADO DEPARTMENT OF AGR1C JLTURE <br />J~~ARRy Customer ~~~n~',Z-_------- <br />(ustamWeedCOntro/ Address ~~ ~~ ~ r~~ <br />6fCakraf, C. o <br />8 Irwin Street City. State 'Lip _ U/V~1~~ ~ ~ ~-J <br />~'(z3t~ <br />Gunnison. (:o. 812311 <br />Phone: (770) 6a1-3398 ~~~~ <br />II''__J/aC» P~ Date l~ SELF <br />Project Location AYJR~b~ ~~ ~ oFTUMt~-~1 Situ-^_ <br />Time •' O ~ / Target, ,A•1AA'1 )~ '~lct-S Weather ~ ~.~~~- <br />~LbllilS~P~5. ~/ _ o Z. ~. ,. <br />Name ~i(1(~ ~~EPA 2"1 ~I Dilution Rate ~ 4 -.~J~ ~~~°L-- ~ harge.~_ <br />Applicatton Rate 1t'~~ Amount used - OZ `^ ~~~ , A<~ <br />Name EPA <br />Application Rate <br />Name EPA #. <br />Application Rate <br />Name EPA #. <br />Application Rate <br />~d jJIJf~I1.L£ <br />M4Vg lII.HAIiJIiIlZYg4J1.1`,CltS1 <br />lYlixilu~'lud..8onlication ~~Jcs <br />Dilution Rate <br />Amount used ~nl <br />Dilution Rate <br />Amount used rq~ <br />Dilution Rate <br />Amount used fa) <br />Charge <br />('Itarge <br />!;large <br />~O;d( tom.. °~ <br />Comments: <br />Date: <br />\C'h'.'~(IN'Lb:IXiMIiN'I'. I<vlwse of I,iahilily and a.a>gt+an.~. W'the wrok urd~r a:tJ ('hani vls I•r be us.d. "I .olunlxnly pani vpxlc in the sm~co nyu wrd undmaandtng and <br />auugrtmg d+u known :md umm~i~ipatud rinks. I agrm w awgn fm mysnll'. tmd.'nr any arydm~x . the li+ll rink uaatxtiatxd whh the ~aniulx to he apt lied, caherwiac I would <br />duws.: nd to rwxnvc the Yaviue rayuMud". "I harcin ap3tili~nll~~ Ycleosc' du Ch~niul :ylpliuatinn C'tmgtam' and its ~+q+ln~m. linen tiny awidon xpi~ is nM due to anymez <br />n~•gliglan au. willlid to walnnn mixundu~t <w vllaptimal wratg doing" <br />P:\1' k1I:1 I', l ~nlwwx ~ah~T vndg urtenganmLn arc madt dle am+wm due is pavehle why servi~ss xre ru+dcrud. In the van ot'nrnl~avm+nl, the u airna agroa In rav fix all <br />s..nx W'aille,anat, including rnannehle amm~ev a Ien:. <br />Customer <br />Signature: <br />(pre work) <br />Customer <br />Signature: <br />(post work) <br />ty.-~ <br />'Iharge~_ <br />miles n, I:harge <br />~~~~~j O/ <br />,,, ~~ Minules(o~_~~'T''~"- I:karge ~ '-' <br /> <br />J.Barry <br />Signature: <br />(Pre work) <br />Date: ~~~ Signature: 1.. <br />(poste <br />