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Date <br />7/12/2012 <br />Customer Name <br />CC & V Gold Mining Co <br />Habitat <br />C Management Inc <br />Time <br />6am -1pm <br />Customer Address <br />PO Box 191, N 3rd st Victor, CO 80860 <br />C <br />Environmental Er Natural Resource Management, <br />Consulting Er Construction Services <br />Location of Application <br />Topsoil Stockpile near the Crusher <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/ Chemical 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 />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 />- <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 5 pint/acre <br />106 66 oz <br />8 33 oz <br />3 33 oz <br />53 33 oz <br />40 oz <br />150 gals of H2O <br />Date <br />7/12/2012 <br />Weather Conditions <br />Partly Cloudy <br />Wind Direction <br />West <br />Time <br />6am -1pm <br />Temp <br />70 F <br />Velocity <br />4-6 mph <br />Qualified Superusor <br />Stephen Guerrero <br />Applicator(s) <br />Nick Mathews & Tony Matthews <br />Comments/ Notes <br />- 30% chance of Scattered Thunderstorms <br />- Equipment is working properly <br />- calibrated to 90 gals /acre <br />Date <br />7/13/2012 <br />Customer Name <br />CC & V Gold Mining Go <br />Habitat <br />Management Inc <br />Time <br />6 30am -11 30am <br />Customer Address <br />PO Box 191, N 3rd st Victor, CO 80860 <br />c <br />Environmental Er Natural Resource Management <br />Consulting Er Construction Services <br />Location of Application <br />Dump #4 Topsoil Stockpile <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/ Chemical 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 5 pint /acre <br />78 22 oz <br />6 11 oz <br />2 44 oz <br />39 11 oz <br />29 33 oz <br />110 gals of H2O <br />Date <br />7/13/2012 <br />Weather Conditions <br />Partly Cloudy <br />Wind Direction <br />North <br />Time <br />6 30am -11 30am <br />Temp <br />65 F <br />Velocity <br />5-6 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 />