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Date <br />7/17/2012 <br />Customer Name <br />CC & V Gold Mining Co <br />Habitat, <br />.... Management Inc <br />Time <br />6 30am -11am <br />Customer Address <br />PO Box 191, N 3rd st Victor, CO 80860 <br />C <br />Environmental & Natural Resource Management, <br />Consulting & Construction Services <br />Location of Application <br />Schist Topsoil Stockpile <br />Target Pests <br />Canada Thistle, Dalmatian Toadflax and Yellow Toadflax <br />Site, or Crop Treated <br />Rangeland and Right -of -Way <br />Brand Name/ Chenrcal 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 />2 pints /acre <br />5 oz /acre <br />2 oz /acre <br />2 pints /acre <br />1 5 pint/acre <br />10 66 oz <br />1 66 oz <br />66 oz <br />10 66 oz <br />8 oz <br />30 gals of H2O <br />Date <br />7/17/2012 <br />Weather Conditions <br />Sunny <br />Wind Direction <br />Southest <br />Time <br />6 30am -11am <br />Temp <br />55 F <br />Velocity <br />5-6 mph <br />Qualified Supervisor <br />Stephen Guerrero <br />Applicator(s) <br />Tony Matthews <br />Comments / Notes <br />- 40% chance of Scattered Thunderstorms <br />- Equipment is working properly <br />- calibrated to 90 gals /acre <br />Date <br />7/17/2012 <br />Customer Name <br />CC & V Gold Mining Co <br />Habitat <br />Management Inc <br />Time <br />10am -11am <br />Customer Address <br />PO Box 191, N 3rd st. Victor, CO 80860 <br />C <br />Environmental & Natural Resource Management <br />Consulting & Construction Services <br />Location of Application <br />Schist Topsoil Stockpile <br />Target Pests <br />Canada Thistle, Dalmatian Toadflax and Yellow Toadflax <br />Site, or Crop Treated <br />Rangeland and Right -of -Way <br />Brand Nacre/ Chemcal Name <br />Pesticide Applied <br />(or Nacre 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 />Backpack Sprayer <br />Backpack Sprayer <br />Backpack Sprayer <br />Backpack Sprayer <br />Backpack Sprayer <br />2 pints /acre <br />5 oz /acre <br />2 oz /acre <br />2 pints /acre <br />1 5 pint/acre <br />2 66 oz <br />416 oz <br />.16 oz <br />2 66 oz <br />2 oz <br />2 5 gals of H2O <br />Date <br />7/17/2012 <br />Weather Conditions <br />Sunny <br />Wind Direction <br />Southest <br />Time <br />10am -11am <br />Temp <br />55 F <br />Velocity <br />2 -3 mph <br />Qualified Supervisor <br />Stephen Guerrero <br />Applicator(s) <br />Nick Mathews & Matt Wertz <br />Comments / Notes <br />- 40% chance of Thunderstorms <br />- Equipment is working properly <br />- calibrated to 30 gals /acre <br />