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vvIn0 L lreciUOn : t <br />Wind Speed : - /5 <br />corn vane'aicu l_.. ,i..0 <br />Gal. H2O Used : N 7 6 <br />Change Orders & Additional Fees : . <br />Customer's Signature for Changes: l <br />Field Notes : q - <br />Ail /fie:_ ,-1.:; 6 t'',: . <br />( 4, 7 / 12 <br />Customer Notes : <br />Posting Requirements : EWC will follow all State requirements and will post at special request by customer. <br />Precautions to Follow : All personel and pets must remain off until dry. Grazing livestock to remain off for 7 days. <br />Payment Terms : Payments are due at the time of application unless otherwise stated on this form. <br />Extreme Weed Control, LLC. (EWC), A Colorado Limited Liability Company agrees to provide all labor and materials necessary to compretethe work under <br />this Work Order Contract and the Customer agrees to accept and pay for the work performed according to this Estimate upon the foregoing terms on this <br />Estimate Signature Page / Work Order Contract. <br />Commercial applicators are licensed by the Colorado Department of Agriculture. <br />EXTREME WEED CONTROL �- <br />13401 HARVEST MILE ROAD ✓ d <br />COMMERCE CITY, CO 80022 -9201 <br />' <br />PH: 303- 853 -9200 <br />FAX' 303- 853 -9848 <br />WWW.EXTREMEWEEDCONTROL.COM <br />ONT'O <br />Herbicide Application Record 2012 <br />Company: ASP//07 f'IW H)$7 CD <br />Contact Name : <br />Address : <br />City, State, Zip : <br />Telephone # : <br />Job Description : <br />Discriptbn of Treatment Area : <br />Estimate # : <br />Service Date : 6' • /D - <br />QS Applicator : <br />CO Applicator : j E/" c. <br />Tech Applicator : <br />Job Type: C'Drl1yf1trria <br />Herbicide Type : ,56%L l it/( <br />Application Method : goom,/ <br />Treatment Area : nf/}riYC <br />Qty of Treatment • y /�-i �S'. 5'0 <br />Temperature : 7C <br />' Truck # : /D <br />Equipment : c r <br />Target Pest : gofro S <br />Arrival Time:. at) <br />Departure Time : 3.0 <br />Warranty Date : — <br />Next Appl. Date : — <br />Unit of Measure : AG2ti <br />Posting : N / / <br />Service Address: <br />P.rry <br />'o 4e w9$ <br />Herbicides Needed <br />Input & EPA # <br />P/0 O'er 83/00 n97 <br />/11; l& S %c <br />2,c4 LY6 <br />/1 G/ %✓47'r jA <br />Rate/AC <br />2 //o nz <br />'7 c t <br />2') o z <br />% y. <br />Qty Used <br />i <br />