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I uesuay, iviay to, zU13 PMIS-0188B <br /> rev.02/28/02 <br /> Pesticide Use Report <br /> rsery 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 /> Permitee/Customer OperatorlD/Permit# Site ID# Oakdale, CA 95361 <br /> SCHULTZ, WILL 39-13-3903116 W.SCHULTZ 1-1 Inv.#. 5862 <br /> Total Acres Planted Location Block ID(d applicable) <br /> 28.00 WNICTORY S/E EDWARD S/COMETA <br /> Date& Time Applied AreaTreated Commodity/Site Treated <br /> 05/23/2013 08:45a-09:15a 28.00 ac. Rice <br /> Product & <br /> Chemical# Manufacturer EPA Reg.# Total Applied Rate er Acre Dilution <br /> BOLERO ULTRAMAX 59639-112 652.40 LB 23.300 LB 0 <br /> Hours Reentry Days Preharvest Application Supervised by:Shane Sperry <br /> 168 0 Yellow W/green <br /> Submitted by Date: Time: <br /> ROSALYN SPERRY 05/28/2013 11:42 am <br /> Received by Box No Date Time <br /> • submit to AGRICULTURAL COMMISSIONER within 7 days of application <br /> e; <br /> E -) <br /> MAY 2 3 20;3 <br />