Western Milling LLC Fumigation Management Plan - Western Milling LLC Date MM slash DD slash YYYY Customer & Site InformationSite NameSite ContactEmail PhoneSite / Field Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Site Emergency Contact AMSite Emergency Contact PMSites Local Police DepartmentSites Local FIre DepartmentLocal Hospital ContactCertified Applicator Name & License # Valerie Motyka #32547 Hal Golightly #970169 Select AllApplicator Contact InfoFume Purpose / Type Burrowing Rodents - Soil Burrow Applications Ground tarp fume (outdoor piles) Site Characterization & PreparationCommodity type (if tarp fume)Estimated volume (ft³ or tons)Product conditionWith weevils, on ground, tarped, dry.Outdoor terrain/hazards (slope, drainage, fire risks)Type of Fumigant & DosageBulk stored commodities in flat storage, bunkers and commoditites stored on ground loosely piled under gas tight covering. https://docs.google.com/document/d/12do8tq1q8P-nQtQWhY02E-SVn2l9AMjUcQqu5Uve_70/edit?tab=t.0 90-180/1000 bu.Presence of nearby occupied buildings Yes No Is the occupied building over 100 ft away Yes No Area inspected for safety and suitability Yes No Site map / sketch attached Yes No Fumigant & Dosage InformationProduct NameApplication MethodDosage Rate UsedNumber of Tablets / Pellets AppliedExposure Time Planned in HoursSealing MethodMonitoring PlanStart Date MM slash DD slash YYYY Start Time Hours : Minutes AM PM AM/PM End Date MM slash DD slash YYYY End Time Hours : Minutes AM PM AM/PM Equipment UsedRecords Maintained Yes No Follow-up action if concentration is too lowWeather (Temperature, Humidity, and Wind) Date Temperature (° F) Humidity (%) Wind Direction & Speed (mph) Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached. Good source for weather: https://www.timeanddate.com/weather/usa/buckeye/historicPersonnel & SafetyAll personnel notified of fume Yes No Placards posted at application site Yes No PPE distributed and used Yes No Emergency plan reviewed with crew Yes No Emergency response phone numbers posted Yes No Pre-Fume Sign-OffCertified Applicator SignatureDate MM slash DD slash YYYY Customer/Owner SignatureDate MM slash DD slash YYYY Post-Fume Aeration & Follow-UpAeration Start Date & TimeAeration MethodPlacards Removed Yes No Site Declared Clear for Reentry Yes No Upload map Drop files here or Select files Max. file size: 512 MB. Post-Fume Sign-OffCertified Applicator SignatureDate MM slash DD slash YYYY Customer/Owner SignatureDate MM slash DD slash YYYY Δ