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JILL(C-1132/R-11.23/11-11.25/D-29.4) User:Alpine Helicopters 3/11/20 12:38:51PM Version:7.7 <br /> STATE OF CALIFORNIA - ENVIRONMENTAL PROTECTION AGENCY <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> w PESTICIDE USE REPORT (33-025 Rev 3/90) PMIS 0033 <br /> Rec.#M14-APL-00128-5 <br /> ( ) Nursery <br /> County Section Township I Range Base&Meridian Method Permittee/Customer Applicator Name&Address <br /> 39 25 1N 5E M A Singh Farms Alpine Helicopter Service,Inc. <br /> — Operator Identification Number Site Identification Number Planted Area P.O.BOX 1405 <br /> 39-14-3900167 1-5 80.00 ac WOODBRIDGE,CA 95258 <br /> Location Block ID Alfalfa <br /> Date/Time Applied Area Treated Commodity or Site Treated Crop ID <br /> Proposed:03/05/14 0930 Actual <br /> Actual: 03/05/14 1230 80.00 ac Alfalfa 23001-00 <br /> testricted Chemical I Registration Number Total Formulated Rate Per Dilution <br /> Material Number Product and Manufacturer From Label Product Used ac Volume <br /> ACTIVATOR 90 34704-50034-AA 2.00 0.2000 10.00 <br /> N/A gal pt gal <br /> N 2160 DIMETHOATE 400 34704-207-AA 10.00 1.00 10.00 <br /> _ UAP/PLATrE gal Pt gal <br /> 18550 Roundup PowerMax 524-549-AA 10.00 16.00 10.00 <br /> Monsanto gal oz gal <br /> _ WARRIOR with Zeon 100-1295-AA 1.20 1.9210.00 <br /> Syngenta Crop Protection Inc. gal oz gal <br /> Days Reentry Days Preharvest Application Supervised By NW N NE <br /> 48 hr 0 day Joel Dozhier <br /> Environmental Changes/Comments <br /> W E <br /> Target Area <br /> w Submitted By: Date Time PCA Name SW S SE <br /> Joel Dozhier 3/11/201• 12:38 PM Tom Gibson 71690 <br /> Received By: Box No. Date Time Approved <br /> Denied <br /> w <br />