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Montrose County Weed Mitigation Department <br />161 S. Townsend Ave, Montrose, CO 81401 <br />Date: % Location: <br />Start Time: f C Address: ' <br />End Time: / • Y$- Contact Info: <br />Mileage Start: Mileage End: <br />19 East End West End ROW /Gravel Pit Grant Funded Facilities USFS <br />BLM CDOT Airport Special Project Other Gov. Other Agency <br />Tank/Herbicide #: <br />Herbicide Applied: <br />EPA Reg. #: <br />Manufacturer: <br />Application Rate <br />Tank/Herbicide #: <br />Herbicide Applied: <br />EPA Reg. #: <br />Manufacturer: <br />Application Rate <br />Tank/Herbicide #: <br />Herbicide Applied: <br />EPA Reg. #: <br />Manufacturer: <br />Application Rate <br />Tank/Herbicide #: <br />Herbicide Applied: <br />EPA Reg. #: <br />Manufacturer: <br />Application Rate <br />Surfactant Applied: <br />Guardian Plus <br />Manufacturer: <br />Cornbelt <br />Application Rate: <br />1.5 quarts per /100 gal carrier <br />Surfactant Applied: <br />Premier 90 <br />Manufacturer: <br />Cornbelt <br />Application Rate: <br />1 quart per /100 gal carrier <br />Dye Used: <br />Other: <br />Other: <br />Target Species: r-� HC ❑ RKW ❑ SKW [-] YST E] YTF E] PLS 0 Broadleaves r" Grasses <br />Other: TLii c //p <br />Application Type: r-� Truck [:] UTV [] Argo <br />Transportation: 11 03 Chevy /W 06 Chevy 1:1 Ford <br />rank # I Total Herbicide I Acres Treated I Gallons Water <br />)tal Cost: <br />Labor <br />Herbicide: <br />Adjuvant: <br />Backpack Mechanical F-1 Other <br />Dodge 11 Tandem Axle Single Axle <br />Applicator Name <br />Total Acres Treated <br />NPDES Application If/Z4 <br />Vegetation Conditions /R/ 0 <br />Notes: /� <br />