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1 ( ( 1 l APPLICATI®IIN - HES IQTEU turwfERIAL0 - Sbe-r6EMLIN I I ° PERMIT NO. il�. <br /> PAGE NO. - <br /> MAP ACRES/ DILUTION/ DATE/ <br /> LOCATION SEC TWN RNG ID CO MOD TY UNITS PESTICIDES P TS F' M" RATE VOLUME APPL TIMING <br /> r <br /> 8. <br /> 9. r r' <br /> 10. — N <br /> 12 <br /> 12 <br /> 13. <br /> 14. <br /> 15. <br /> 16. <br /> 17. <br /> 18. <br /> 19, <br /> 20. <br /> 21. <br /> 22. <br /> 23. <br /> 24. <br /> 25. <br /> 26. <br /> 27. <br /> 28. <br /> 29. <br /> 30. <br /> 31. <br /> 32. <br /> 33. <br /> 'Formulation: L—Liquid B—Bait D—Dust F—Fumigant G—Granules AppLICANT SIGNATURE DATE <br /> WP—Wettable Powder 0--Other <br /> —Methw: A—Air F—Fumigation GR—Ground O—Other ISSUED BY DATE / <br /> DISTRIBUTION:WHITE 8 YELLOW—COUNTY;PINK 8 GOLD—PERMITTEE PESTICIDE ENFORCEMENT BRANCH PR-ENF-125A(Rev7(, <br /> �1�I osP 02 66861 (lJ <br />