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JILL(C-11.05/R-11.02/H-11.00/D-2.3) User:Haley Flying Service 8/22/20- 2:40:04PM Version:7.7 <br /> STATE OF CALIFORNIA - ENVIRONMENTAL PROTECTION AGENCY <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PESTICIDE USE REPORT (33-025 Rev 3/90) PMIS 0033 <br /> Rec.#MII-APL-00825-1 <br /> ( ) Nursery ScIMMQ <br /> County Section Township Range Base&Meridian Method Permittee/Customer Applicator Name&Address <br /> 39 25 OIN I 05E M A GV FARMS HFS Inc. <br /> Operator Identification Number Site Identification Number Planted Area P.O.BOX 1049 <br /> 39=1t-00600 3-2 80.00 ac TRACY, CA 95378-1049 <br /> Location Block ID GV 3-2-I TOM <br /> NE COR MUELLER&MAYBECK* 11 <br /> Date/T me Applied Area Treated Commodity or Site Treated Crop 1D <br /> Proposed:08/20/11 1030 Actual <br /> Actual--08/20/-1-11-1-10 80.00--ac------TOMATO-PROCESS. __ _29136=00__ —_--_.___-._ <br /> Festricted Chemical Registration Number Total Formulated Rate Per Dilution <br /> Material Number Product and Manufacturer From Label Product Used ac Volume <br /> N 22941 ASANA XL INSECTICIDE 352-515-AA 6.00 9.60 15.00 western <br /> DUPONT gal OZ gal _ <br /> N 99900 QUADRIS TOP 100-1313 5.00 8.00 15.00 Powdery Mildew <br /> ZENECA AG gal OZ gal <br /> Days Reentry Days Preharvest Application Supervised By NW N NE <br /> 1 day I 1 day Gary Del Carlo <br /> Environmental Changes/Comments <br /> W E _.— <br /> Target Area <br /> Submitted By: Date Time PCA Name SW S SE <br /> Denis Della Nina 8/22/201 02:40 PM Al Giannecchini 2347 <br /> Received By: Box No. Date Time A roved <br /> Denied <br /> RECEIVED <br /> AUG 2 4 2011 <br />