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PMIS-0188B <br /> Vednesday, May 19, 2004 <br /> rev.02/28/02 <br /> I Pesticide Use Report <br /> Nursery County Section Township Range Base&Meridian Method Applicator Name&Address <br /> 39 14 01S 09E M Air Hawke Ag Aviation <br /> f P.O. Box 1133 <br /> Permitee/Customer Operator ID/Pennit# Site 1D# Oakdale, CA 95361 <br /> TARO, TONY 39-04-3903235 TARO 2-2 inv. #: 1520 <br /> —Total Acres Planted Location Block ID(►f applicable) <br /> 20.00 E/STEINEGUL S/DODDS <br /> Date S Time Applied Area TreatedCommodity/Site Treated <br /> 05/18/2004 10:40A 20.00 ac. Rice <br /> { Product & <br /> Chemical# Manufacturer EPA Re .# Total Applied Rate erAcre Dilution <br /> 56196 BOLERO 15G 59369-00112-AA-00000 534.00 LB 26.700 LB 0 <br /> Valent <br /> DRY CHARGE 20.00 AC 1.000AC 0 <br /> Hours Reentry Days Preharvest Application Supervised by. Steve Sperry <br /> 24 0 Yellow W/green <br /> Submitted by Date: Time: <br /> ' f ROSALYN SPERRY 05/19/2004 1:04 ptn <br /> Received by Box No Date Time <br /> ? <br /> submit to AGRICULTURAL COMMISSIONER within 7 days of application <br /> t <br /> iF <br /> t <br />