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JH.L(".511R-9A9!H-+9-W W-22 0) User.Kai1 Brothers 71r0W 12:38:44PM Version:7.1 <br /> STATE OF CALIFORNIA - ENVIRONMENTAL PROTECTION AGENCY <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PESTICIDE USE REPORT(33-025 Rev 31' 0)PMIS 0033 <br /> Rec.#00063-MOS-APL-1 <br /> ( ) Nursery <br /> County I Section I Township I Range Base&Meridianj Method Permittee/Customer Applicator Name&Address <br /> 39 12 01 S 49E M G RAYMAR FARMS Kuil Brothers <br /> Qperawr Identification Number Site identification Number Planted Are$ ' 22844 S.Frederick <br /> 39-08-3903404 1-1 43.00 ac Ripon,CA 95366 <br /> Location Block ID 1-1 <br /> N/DODDS E/HENRY <br /> Date/Time Applied Area Treated Commodity or Site Treand Crop ID <br /> Proposed:06112!08 Actual <br /> Actual: 06/12/08 6:00 am 43.44 ac Corn/Field 22005-00 <br /> RestrictedChemical Registration Number Total Formulated Rabe Per Dilution <br /> Material Number Product and Manufacturer From Label Product Used ac Volume <br /> STEADFAST 352-608 2.02 4.7500 <br /> noont Crop Protection lb oz gat <br /> Clarity Herbicide 7969-197AA 2.02 6.40 <br /> BASF gal Oz gal <br /> Days Reentry Days PreharvestApplication Supervised By NW N NE <br /> 4 hr 30 day Matt Kuil <br /> Environmental Changes/Comments <br /> W E <br /> Target Area <br /> Submitted By: Date Time PCA Name SW S SE <br /> Matt Kuil 71'2P2008 12:38 PM ED VERNIEULEN 6654 <br /> Received By: Bax No. Date Time Approved <br /> Denied <br /> ECEIVE <br /> JUL 1 1 2m <br /> :AGR. COMM. SIMMS <br />