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Date <br />7/10/2012 <br />Customer Name <br />CC & V Gold Mining Co <br />Habitat` <br />Management Inc <br />Time <br />12pm -2pm <br />Customer Address <br />PO Box 191, N 3rd st Victor, CO 80860 <br />C <br />Environmental 4 Natural Resource Management <br />Consulting Er Construction Services <br />Location of Application <br />County Road 81 <br />Target Pests <br />Canada Thistle, Musk Thistle, Yellow Toadflax and Dalmatian <br />Toadflax <br />Site, or Crop Treated <br />Rangeland and Right-of-Way <br />Brand Nacre/ Chemcal Nacre <br />Pesticide Applied <br />(or Name and Address of <br />Manufacturer) <br />EPA REG # <br />Carrier <br />Method of Application <br />Application Rate <br />Amount Used <br />(oz) Dilution Rate <br />Tordon 22K (Picloram) <br />Plateau (imazapic) <br />Milestone VM (aminopyralid) <br />MSO Premium <br />Blue Dye <br />62719 -6 <br />241 -365 <br />62719 -537 <br />- <br />- <br />- <br />Water <br />Water <br />Water <br />Water <br />Water <br />- <br />Kubota Sprayer Rig <br />Kubota Sprayer Rig <br />Kubota Sprayer Rig <br />Kubota Sprayer Rig <br />Kubota Sprayer Rig <br />- <br />4 pints /acre <br />10 oz /acre <br />5 oz /acre <br />1 5 pints /acre <br />1 pint/acre <br />35.55 oz <br />5 55 oz <br />2.77 oz <br />13 33 oz <br />8 88 oz <br />50 gals of H2O <br />Date <br />7/10/2012 <br />Weather Conditions <br />Cloudy <br />Wind Direction <br />West <br />Time <br />12pm -2pm <br />Temp <br />65 F <br />Velocity <br />2 -3 mph <br />Qualified Superusor <br />Stephen Guerrero <br />Applicator(s) <br />Nick Mathews & Tony Matthews <br />Comments / Notes <br />- 20% chance of Scattered Thunderstorms <br />- Equipment is working properly <br />- calibrated to 90 gals /acre <br />Date <br />7/10/2012 <br />Customer Name n� <br />CC & V Gold Mining Co <br />Habitat <br />:! <br />Management Inc <br />Time <br />2pm -5pm <br />Customer Address <br />PO Box 191, N 3rd st Victor, CO 80860 <br />c <br />Environmental £r Natural Resource Management <br />Consulting ET Construction Services <br />Location of Application <br />County Road 81 <br />Target Pests <br />Canada Thistle, Musk Thistle, Yellow Toadflax and Dalmatian <br />Toadflax <br />Site, or Crop Treated <br />Rangeland and Right-of-Way <br />Brand Name/ Chemcal Name <br />Pesticide Applied <br />(or Name and Address of <br />Manufacturer) <br />EPA REG # <br />Carrier <br />Method of Application <br />Application Rate <br />Amount Used % <br />(oz) Dilution Rate <br />Tordon 22K (Picloram) <br />Milestone VM (aminopyralid) <br />Telar XP (chlorsulfuron) <br />MSO Premium <br />Blue Dye <br />62719 -6 <br />62719 -537 <br />352 -654 <br />- <br />- <br />Water <br />Water <br />Water <br />Water <br />Water <br />- <br />Kubota Sprayer Rig <br />Kubota Sprayer Rig <br />Kubota Sprayer Rig <br />Kubota Sprayer Rig <br />Kubota Sprayer Rig <br />_ <br />4 pints /acre <br />5 oz /acre <br />2 oz /acre <br />2 pints /acre <br />1 pint/acre <br />60 44 oz <br />4 72 oz <br />1.88 oz <br />30.22 oz <br />15.11 oz <br />85 gals of H2O <br />Date <br />7/10/2012 <br />Weather Conditions <br />Partly Cloudy <br />Wind Direction <br />West <br />Time <br />2pm -5pm <br />Temp <br />60 F <br />Velocity <br />1 -2 mph <br />Qualified Superusor <br />Stephen Guerrero <br />Applicator(s) <br />Nick Mathews & Tony Matthews <br />Comments / Notes <br />- 20% chance of Scattered Thunderstorms <br />- Equipment is working properly <br />- calibrated to 90 gals /acre <br />