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STATE DEPARTMENT <br /> EPARTNTOFPES PRODUCTION AGRICULTUK ONTHLY PESTICIDE USE REPORT �-✓ <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> Submit to the Agricultural Commissioner within 10 days of the month following application. <br /> June 2005 Field: RMF 1-4C <br /> Month Year 06-01-2005 to 06-30-20D5 <br /> ❑Nursery <br /> Operator iD/Permit No Operator(Grower) Address City Zip Code <br /> 39-05-3903404 RAYMAR FARMS 4064;0ODDS,,RD: OAKDALE,CALIFORNIA 9.536#, <br /> Site Identification# Total Planted Acres County Section Township Range Base&Meridian <br /> 1-4 100 39 San Joaquin 12 01 ❑ N S 09 ® E w ❑ S ®M El <br /> Commodity 1 Crop 1 Site Treated Field Location <br /> CORN/FIELD NIDODDS EIHENRY <br /> Chemical Date!Time Area Application Block EPA or State Registration# Total Oays Application Dilution Product and Manufacturer <br /> Code Completed Treated Method ID (From Label) Product Reentry Rate <br /> Number p <br /> 06110!2005 100.00 Ground 1000.00 10 00 Lbs 1 0 NIJFOS 15G <br /> 0000 Acres Ai` 67760-00014-AA-00000 Pounds 24 Hrs Woad0 Ac Gallons CHEMINOVA <br /> Other ❑ <br /> .R <br /> E C E I V Ev-'w'%, <br /> a 11 <br /> J U L S Z005 tj <br /> AGR. COMM. SIMMS <br /> Reviewed By <br /> Report Prepared By Date 07-01-2005 For Agency Use Only <br /> Copyright Q 1984-2005,CDMS Inc. Page 1 07-01-05 <br />