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t 1 <br /> APPLICATION - RESTRICTED MATERIALS PERMIT - SUPPLEMENT PERMIT NO. <br /> PAGENO_ ./ <br /> MAP ACRES/ DILUTION/ DATE/ <br /> LOCATION SEC TWN RNG ID COMMODITY UNITS PESTICIDES PESTS F' M" RATE VOLUME APPL TIMING <br /> 7. �i —/ 6�f1- loo j GrJ�e<l <br /> 8. - Z [x/71— /30 �7 ;• <br /> 9. <br /> 10. <br /> 11. <br /> 12. <br /> 13. <br /> 14. <br /> 15. <br /> 16. <br /> 17. <br /> 18. <br /> 19. <br /> 20. <br /> 21. <br /> 22. <br /> 23. <br /> 24. <br /> 25. <br /> 26. <br /> 27. <br /> 28. <br /> 29. <br /> 30. <br /> 31. <br /> `Formulation:L—Liquid B--Bait D--Dust F--Fumigant G--Granules �_/ C <br /> WP--Wettable Powder O--Other APPLICANT SIGNATURE DATE "7 <br /> "Method: A--Air F--Fumigation Gr--Ground O--Other `' Q <br /> ISSUED BY awl- ` �'� DATE4;1 & <br /> STAT ORA <br /> DISTRIBUTION:WHITE 8 YELLOW- DEPARTMENT OF PESTICIDE REGULATION <br /> COUNTY AGRICULTURAL COMMISSIONER:PINK 8 GOLD-PERMITTEE ®OSP 08 106950 PR-ENF-125A(REV.10107)Page 1 of 1 <br />