NISIMS Manual Treatment Record Treatment Record ID _____________ LOCATION INFORMATION BLM Project Name Exact Location of Treatment Site: (ex:38.468218, -108.101364) State: County: BLM Field Office: TREATMENT INFORMATION Treatment Treatment End Date Date (ex: 6/1/2014) (ex: 6/1/2014) Recorder (ex: John Doe) Role (Circle one) APPLICATOR COOPERATOR CONTRACTOR EMPLOYEE MAITENANCE PROVIDER – – – Manual Treatment DIGGING HAND CUTTING HOEING LOPPING PULLING PUSH MOWER WRENCHING - PULASKI – – – – – – Type (circle one) Total Acres Treated: SPECIES INFORMATION SPECIES CODE SPECIES COMMON PHENOLOGY ESTIMATED PERCENT COVER (ex: NAME (circle one) (circle one) (ex: Russian Knapweed) BARE GROUND PRE-BUD Trace (Less than 1%) BOLT ROSETTE Low (1-5%) BUD SEED SET DORMANT Medium (5-25%) SCENESCENT FLOWER High (25-100%) VEGETATIVE MATURE BARE GROUND PRE-BUD (Less than 1%) BOLT ROSETTE Low (1-5%) BUD SEED SET DORMANT Medium (5-25%) SCENESCENT FLOWER High (25-100%) VEGETATIVE MATURE BARE GROUND PRE-BUD Trace (Less than 1%) BOLT ROSETTE Low (1-5%) BUD SEED SET DORMANT Medium (5-25%) SCENESCENT FLOWER High (25-100%) VEGETATIVE MATURE ***If more species treated, attach another form and record there.
NISIMS Manual Treatment Record Treatment Record ID _____________ LOCATION INFORMATION BLM Project Name Exact Location of Treatment Site: (ex:38.468218, -108.101364) State: County: BLM Field Office: TREATMENT INFORMATION Treatment Date (ex: 6/1/2014) Treatment End Date (ex: 6/1/2014) Recorder (ex: John Doe) Role (Circle one) APPLICATOR – COOPERATOR – CONTRACTOR EMPLOYEE – MAITENANCE PROVIDER Manual Treatment Type (circle one) DIGGING – HAND CUTTING – HOEING – LOPPING – PULLING – PUSH MOWER – WRENCHING - PULASKI Total Acres Treated: SPECIES INFORMATION SPECIES CODE (ex: SPECIES COMMON NAME (ex: Russian Knapweed) PHENOLOGY (circle one) ESTIMATED PERCENT COVER (circle one) BARE GROUND BOLT BUD DORMANT FLOWER MATURE PRE-BUD ROSETTE SEED SET SCENESCENT VEGETATIVE Trace (Less than 1%) Low (1-5%) Medium (5-25%) High (25-100%) BARE GROUND BOLT BUD DORMANT FLOWER MATURE PRE-BUD ROSETTE SEED SET SCENESCENT VEGETATIVE (Less than 1%) Low (1-5%) Medium (5-25%) High (25-100%) BARE GROUND BOLT BUD DORMANT FLOWER MATURE PRE-BUD ROSETTE SEED SET SCENESCENT VEGETATIVE Trace (Less than 1%) Low (1-5%) Medium (5-25%) High (25-100%) ***If more species treated, attach another form and record there.
NISIMS_Manual_Treatment_Record_Template.docx