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]rwiivay, wiay io,cv IU PMIS-0188B <br /> rev.02/28/02 <br /> Pesticide Use Report <br /> Nursery County Section Townshi Range Base&Meridian Method Applicator Name&Address <br /> 39 24 01S 09E M Air Hawke Ag Aviation Inc. <br /> P.O. Box 1133 <br /> nnitee/Customer Operator ID/Permit# Site ID# Oakdale, CA 95361 <br /> SCHULTZ, WILL 39-15-3903116 W.SCHULTZ 1-1 Inv.#: 6872 <br /> Total Acres Planted I Location Block ID(d applicable) <br /> 28.00 WNICTORY S/E EDWARD S/COMETA <br /> Date& Time Applied AreaTreated Commodity/Site Treated <br /> 05/15/2015 08:20 a-09:00 a 28.00 ac. Rice <br /> Product & <br /> Chemical# Manufacturer EPA Reg.# Total Applied Rate perAcre Dilution <br /> COPPER SULFATE 56576-1 280.00 LB 10.000 LB 0 <br /> CRYSTALS CHEM O <br /> DRY CHARGE 28.00 AC 1.000 AC 0 <br /> Hours Reentry Days Preharvest Application Supervised by: <br /> 24 0 Shane Sperry Yellow W/green <br /> Submitted by Date: Time: <br /> ROSALYN SPERRY 05/18/2015 12:04 pm <br /> Received by Box No Date Time <br /> • submit to AGRICULTURAL COMMISSIONER within 7 days of application <br /> • <br />