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Date <br />Customer Name <br />CC & V Gold Mining Co <br />Habitat <br />r_ Management In <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 />Dump #4 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 Nane/ 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 />Backpack Sprayer <br />Backpack Sprayer <br />Backpack Sprayer <br />Backpack Sprayer <br />Backpack Sprayer <br />4 pints /acre <br />5 oz /acre <br />2 oz /acre <br />2 pints /acre <br />1 5 pint/acre <br />51 2 oz <br />4 oz <br />1 6 oz <br />25 6 oz <br />19 2 oz <br />Date <br />7/17/2012 <br />24 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 />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 />Date <br />7/17/2012 <br />Customer Name <br />CC & V Gold Mining Co <br />Customer Address <br />PO Box 191, N 3rd st Victor, CO 80860 <br />C Habitat e_ Management Inc <br />Time <br />6 30am -11am <br />Environmental Er Natural Resource Management <br />Consulting & Construction Services <br />Location of Application <br />Dump #4 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 V (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 />1 6 oz <br />25 oz <br />.1 oz <br />1 6 oz <br />1 2 oz <br />1 5 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 />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 />