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JILL 19.581 user: PRECISSI FLYING SERVICE Copy 14 <br /> STATE OF CAL,IFORIVIA - EIVVIRONMFNTAL. PWITECTION A[,FNCY <br /> DF-.PAR'TIhIE:IVT OF PESTICIDE RF_i-�IJI-AT I QIV <br /> PESTICIDE USE RFPORT (33-Oc'5 Rev 3/90) PMIS 00,-,3 <br /> EC. #: DF05-404 <br /> ( 1 NURSERY <br /> 'COIRITYISECTION ITOWNSHIP IRANGE IBASE & MERIDIAN IMETHOD I PERMITTEE / CUSTOMER I WPLICATOR NAME W ADDRESS <br /> I I I I I I I I <br /> `T 39 1 8 I IN 18E I M IA I MIKE DELUCCHI I PRECISSI FLYING SERVICE INC. I <br /> OPERATOR IDENTIFICATION NUMBEI SITE IDENTIFICATION NUMBERI PLANTED AREA 1 11919 NORTH LOWER SACRAMENTD ROAD I <br /> I I I <br /> X39-05-39-N115 1 6-111) 1 43.00 ACRE I UIDI CA 95242 I <br /> I LOCATION I BI.O:K ID: <br /> I I <br /> W/HOLLENBECK RD N/HWY 4 I I <br /> (DATE / TIME APPLIED I AREA TREATED I COMMODITY OR SITE TRATED I I I I I I <br /> ]Proposed Actual I Actual I I I_I_I_I—I—I_I—I_I—I I <br /> 06-24-05 06-24-05/12:00 1 43.00 ACRE I TOMATO I I <br /> I I I PRODUCT I RFGISIRATICOI I TOTAL FORMI#ATFD I RATF IOIIInION I <br /> RESTRICTEI CHEMICAL I AND I NUMBER I PRODUCT 11 ;0 I PER IVOIPME I <br /> MATERIAL I NUMBER I MANUFACTURFR 1 FRDM 01,11 1 ANA L#111S I ACRF IFA(/ACRE I <br /> I NO I IDITHANF F-45 RAINGHIELD I f•?719-00' 2C 1 10.75 1 2.00 1 10.00 1 <br /> I IDOW I I 139L I PT I I <br /> NO I IKCCIDE 4.5 LF I 01812-00303-ZA 1 13.44 1 2.'i0 I 10.00 I <br /> 'T I IGRIFFEN I I Gf1 I PT I I <br /> I NO I IB-BS SPREADER-ACTIVATOR I 10951-50045-11A 1 0.54 1 1.60 1 10.00 1 <br /> I IBRITZ I I W I OZ I I <br /> HOURS REENTRY I DAYS PREHARVEST I APPLICATION SUPERVISED BY INW IN INE I <br /> 1 DAY 1 5 DAYS I DONALD PRECISSI 1 1 1 1 <br /> ENVIRONMENTAL CHANGES / COMMENTS 1 1 1 1 <br /> I1------------- I----------- I------------ I <br /> IW I IE I <br /> I I TREATMENT I I <br /> T I I AREA I I <br /> I SUBMITTED BY: I DATE I TIME I PCA NAME I-------------- I--------------- 1- -------- I <br /> 10f,24-05 1 11:29 1 BILL VIGNOLO I1c41 IS IK I <br /> RECEIVED BY: 1 BOX NO. I DATE I TIME 1 _IAPPROVED I I J I <br /> I I I I I IDENIFD I I I I <br /> 6. <br /> r,.• 1111 Q. 2005 <br /> 1� <br /> q;. . ... <br />