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I I r r I I I I I I I I I I I I I I I <br /> DSTATE EPARTMENT <br /> PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PR-ENF-017C(REV.2/911) <br /> 'Ins uctions: bmit tto the Agricultural Commissioner within 10 days of month following application. <br /> : MONTH 1 YY A <br /> URSERY 0 <br /> Page of <br /> OP T I PE T fl ' S ER�SQR/����� , /� 6D0 S,S / ` CITY / I � ZIPCODE <br /> SITE IDENTI NUMBER 1U TALTEO ACREA'vOE//UNITS ;OU NUMBER/C/ SZ CTION% 10W473 <br /> � 5 MNCTE�S ,/W BS SE SMERFIAOIANN <br /> COMMODITY/91TE REATED U FIELD LOCA N l//^I /G6J/ <br /> 17I9 <br /> CHEMICAL DATERIME ACREAGWMRS APp. BLOCK 10 EPA OR STATE REGISTRATION NUMBER TOTAL PRODUCT USED DAYS RATE DILUTION PRODUCT AND MANUFACTURER <br /> CODE NUMBER APPLICATION TREATED METHOD DF (FROM"BEL) (CIRCLE ONE UNIT REENTRY PER ACRE <br /> COMPUTED (CHECK APPUCAME) OFMEASURE) <br /> 21 22 23 24 ONE 25 26 27 25 29 30 31 <br /> on vol <br /> on, <br /> ❑ /� �J \`J} LB PT OT GA ' <br /> OT ° V r W f <br /> NR <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR <br /> OTHER LB OZ PT OT GA <br /> OR ❑ <br /> AIR Eyl i <br /> OTHER H LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> ID <br /> OTHER ❑ LS OZ PT OT GA <br /> GR ❑ SEP 13 20 <br /> NR <br /> OTHER❑ T -`T <br /> an 0 <br /> ERS GA C/K►O"� <br /> DMR <br /> R AG <br /> OTHER® LB OZ I PS U 010 2000 <br /> an <br /> ❑ <br /> AIR ❑ <br /> OTHER❑ <br /> SAN 10WJ *MINTY <br /> NA AGRIC.COI IM.• 1.001 <br /> OTHER 01 1LB OZ PT OT GA <br /> on 8Nfl <br /> OTHER❑ LB OZ PT OT GA - <br /> GR 8AIR <br /> OTHER LB OZ PT OT GA <br /> G ❑ <br /> N ❑ <br /> OTH LB OZ PT OT GA <br /> J/J <br /> REPORT PREPARED BY DATE C✓ REVIEWED BY <br /> FOTm Distribution: White cc my AgdculW ral Commissioner; Pink copy--DPR; Canary--AppICG10 GOILIkUIUd--Applt,rl.. FOR AGENCY USE ONLY <br />