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OF CAI; WAA I I I r l I I I I I I I <br /> RTMENT OF PESTICIDE REGULATION PRO�CTIOI AGRICULTORE M6NTHLY PESTICIDE USE REPORT <br /> - F-017C(REV.LIM71 - <br /> structions: Submit the white cop v to the Agricultural Commissioner within10 days <br /> of month following application. <br /> M IN —1 R 2 <br /> NURSERY 3 lz� <br /> UI/ � � <br /> Page 111, of <br /> OPERATOR IOIPERMIT NUMBER OPEM (GROWER) ADDRESS ^� — x �y �� 71�`� BI��ODE <br /> �� <br /> Y10 ��0 5 e 3 6 C V fl X /f <br /> 531 I NTI - ON NUMBER 'DOTAL PLANTED ACREAGEIUNITS ;OUNTY ER _ SECT107 13 WN 2,5 `� S RANGE 26—W B6 SE MERIDIAN9N <br /> COMMODITY/ 7E TREATED Jam" FIELD LOCATION <br /> O3/�-El- Jw'u/ <br /> c <br /> CHEMICAL WTERIME ACgFADFNNRS APP, P(IF <br /> FPA OR STATE REGISTRATION NUMBER TOTAL PRODUCT U6E0 DAYS NATE DILUTION PRODUCT AND MANUFACTURER <br /> CODE NUMBER APPLCA71ON TREATED METHOD (FROM LIBEL) (LIRCLEONEUNR REENTRY PERALRE <br /> COMPLETED (CHECK OF MEASURE) <br /> 21 22 25 2/ONE) 26 27 2B 20 90 91 <br /> eN AIR <br /> OR 0 <br /> DIMER Q ,( LB OZ PTQT GAMR OTHER p �({{/I GQI G' LB jJ50PT OT GA <br /> cR ❑ <br /> MR ❑ <br /> OTHER U allLB OZ PT OT GA <br /> OR Q <br /> MR <br /> OTHER LB OZ PT OT OA <br /> OR ❑ <br /> MR <br /> OTHER LB OZ PT OT GA <br /> ON <br /> MR <br /> OTHER LB OZ PT OT GA <br /> OR ❑ <br /> NR ❑ <br /> OTHER Q LB OZ PT OT GA <br /> OR ❑ <br /> MR <br /> OTHER LB OZ PT OT GAON <br /> AIR ❑ <br /> OTHER e LB OZ PT OT GA / n <br /> ON <br /> MR <br /> OTHER❑ LS OZ PT OT GA <br /> OR B <br /> MR a6� 3:6;�dsj$i(E I <br /> Cg7� , E6 <br /> OTHER❑ LB 02 PT OT OA � �N ,�• ,.,�t? RE3 so"� <br /> OR <br /> •d T! p:1hV. ::144+°.�"t <br /> MR <br /> OTHER❑ LB OZ PT OT GA <br /> eR guR <br /> OTHER <br /> LB OZ PT OT DA <br /> O LB OZ PT OT GA <br /> REPORT PREPARED BY DATE REVIEWED BY <br /> Form Distribution: Whitey-- un Agdcu tura)Commiss ner; Pink copy--DPR; Canary--Applicator, Goldenrod--Applicator FOR AGENCY USE ONLY <br />