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Foothills Vegetation Management <br />APPLICATOR(S) <br />Application performed for <br />Arvada <br />address on file <br />Site /Crop /Commodity Treated natural area <br />Surfactant/Adjuvant Use <br />MSO <br />Ken Shackelton <br />Pesticide Application Record <br />Date <br />Time <br />T. time <br />Temp <br />Wind <br />19394 Silver Ranch Road <br />Conifer, CO 80433 <br />Phone: 303-697-5424 <br />Fax: 303-697-422 <br />2 of 2 <br />Worksite Location between Pioneer gravel pit and road for Airpark and west of 2 track going north out of <br />gravel pit; west side of road going into Airpark from gate north <br />Target Pest(s) common and moth mullein, Dalmatian toadflax, bindweed, musk thistle, diffuse knapweed <br />Specific Pesticide(s) Applied <br />Product Perspective EPA REG.# 352 -846 <br />Product EPA REG.# <br />Product EPA REG.# <br />Dilution /Application Rate Total Area Total Material <br />Perspective App lied at 4.75 oz @ 12.5 gpa. 19 90.25 oz <br />Applied at (a; gpa. <br />Applied at (eP: gp <br />Applied at (a) gpa. <br />@ 1% Total 304 oz <br />5/17/2012 <br />see page t <br />Total <br />STAY OFF SPRAYED AREAS UNTIL DRY <br />COMMERCIAL APPLICATORS ARE LICENCED BY THE COLORADO DEPARTMENT OF AGRICULTURE <br />5/23/2012 Page 1 <br />