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Tank # <br />Total Herbicide <br />Acres Treated <br />Gallons Water <br />i <br />/ 9a. y o� <br />' - / 0 7 <br />02 7 y <br />2 <br />) )o -5 <br />5 <br />3 <br />/ gr o <br />Date: 6 `/G - I/ Location: /Vu C /Ct. P i J- <br />ulie Left Shop: 6 ; y S Address: <br />Time Returned: Contact Info: A / Ale-e,1 y eS" - V y <br />Mileage Start: 6, y, 673 Mileage End: 4 77 _,- <br />East End <br />CDOT <br />• <br />West End <br />USFS <br />Montrose County Weed Mitigation Department <br />161 S. Townsend Ave, Montrose, CO 81401 <br />Special Project v( ROW <br />BLM n Private <br />Tank/Herbicide #: 1 Tank/Herbicide #: <br />Herbicide Applied: (u , ,L G / / Herbicide Applied: <br />EPA Reg. #: 62 7'1 7)q EPA Reg. #: <br />Manufacturer: R ,+.„. Manufacturer: <br />Application Rate .3e yL Application Rate <br />Tank/Herbicide #: 2 Surfactant Applied: Guardian Plus <br />Herbicide Applied: 5,,. Sf /r 6L Manufacturer: Cornbelt <br />EPA Reg. #: Application Rate: 1.5 quarts per /100 gal carrier <br />Manufacturer: 6• <br />r ,. I3i / <br />Application Rate <br />Tank/Herbicide #: 3 <br />Herbicide Applied: Tcr a <br />EPA Reg. #: 62, 7/7 - 4 Dye Used: <br />Manufacturer: Do L., Other: <br />Application Rate 3 P Other: <br />Target Species: n HC n RKW n SKW YST n YTF 111 PLS Broadleaves Grasses <br />Other: <br />Application Type: Truck fl UTV fl Argo 0 Backpack 0 Mechanical Other <br />Transportation: 03 Chevy fl 06 Chevy Ei Ford 111 Dodge Tandem Axle Single Axle <br />Total Acres Treated: <br />' Applicator: Ra <br />Vegetation Conditions: <br />Comments: <br />Notes <br />C C, ✓ <br />Facilities 11 Grant Funded <br />Other: <br />Surfactant Applied: Premier 90 <br />Manufacturer: Cornbelt <br />Application Rate: 1 quart per /100 gal carrier <br />. a 1' <br />• o 'r <br />,(7 A.3 <br />A c‘ <br />3 <br />