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..� ..ayI may <v, cv w PMIS-0188B <br /> rev.02/28/02 <br /> Pesticide Use Report <br /> Nursery County Section Townshi Range Base&Meridian I Method Applicator Name&Address <br /> 39 24 01S 09E M Air Hawke Ag Aviation Inc. <br /> P.O. Box 1133 <br /> Pennitee/Customer Operator lD/Permit# SIteID# Oakdale, CA 95361 <br /> SCHULTZ, VERN 39-13-3903214 SCHULTZ 1-1 C Inv.#: 5864 <br /> .Total Acres Planted Location Block ID(if applicable) <br /> 28.00 NW GROOMS&VICTORY <br /> Date&Time Applied AreaTreated Commodity/Site Treated <br /> 05/23/2013 08:15 a-08:45 a 28.00 ac. Rice <br /> Product & <br /> Chemical# Manufacturer EPA Reg.# Total Applied Rate perAcre Dilution <br /> Granite GR 62719-501 420.00 LB 15.000 LB 0 <br /> Dow AgroScience <br /> Hours Reentry Days Preharvest Application Supervised by. Shane Sperry <br /> 12 60 Yellow W/green <br /> Submitted by Date: Time: <br /> ROSALYN SPERRY 05/28/2013 11:39 am <br /> Received by Box No Date Time <br /> • submit to AGRICULTURAL COMMISSIONER within 7 days of application <br /> � <br /> �`'� gamg,� <br /> I P < a <br /> MAY 2 Q 2013 I` <br /> 01 " <br />