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JILL(C-11.05/13-11.02/11-11.00/D-2.3) User:Haley Flying Service 7/9/201- 9:32:53AM 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 /> tec.tt Ml l-APL-00528-1 <br /> ) Nursery <br /> :ounty Section I Township Range Base&Meridian Method Permittee/Customer Applicator Name&Address <br /> 39 1 25 1 O1N 05E M I A GV FARMS HFS Inc. <br /> )perator Identification Number Site Identification Number Planted Area P.O.BOX 1049 <br /> 9-11-00000 3-5 39.00 ac TRACY,CA 95378-1049 <br /> .ocation Block ID GV 3-5-1 TOM <br /> IE COR MUELLER AND MAYBECK* 11 <br /> )ate/Time Applied Area Treated Commodity or Site Treated Crop ID <br /> Proposed:07/08/11 0850 Actual <br /> kctual-07/08111._0920__ _39.00__—ac sOMATOPROCESS____— <br /> "estricted Chemical Registration Number Total Formulated Rate Per Dilution <br /> vlaterial Number Product and Manufacturer From Label Product Used ac Volume <br /> N 22941 ASANA XL INSECTICIDE 352-515-AA 2.92 9.60 10.00 Western <br /> DUPONT al OZ gal - <br /> N 2161 DIMETHOATE 4E 66330-223 4.88 1.00 10.00 Aphid <br /> ARYSTA LIFESCIENCE gal Pt gal _ <br /> N 99006 TRI-FOL BUFFER 2935-50152 0.73 0.1500 10.00 <br /> Wilbur-Ellis Company gal pt Igal <br /> Days Reentry Days Preharvest Application Supervised By NW N NE <br /> 18 hr 7 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 7/9/2011 09:32 AM Al Giannecchini 2347 <br /> Received By: Box No. Date Time Approved <br /> Denied <br /> JUL 14 2011 <br /> .GR. COMM. <br />