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JILL(C-10.11/R-10.05/R.10.09/D-E.1) User:Trinkle Ag Flying,Inc. 2/14/20 2:39:151'M Version:7.5 <br /> _ <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.#Ml l-APL-01233-4 <br /> ` ( ) Nursery <br /> County I SectionTownship Range Base&Meridian Method Permittee/Customer Applicator Name&Address <br /> 39 24 ( IN 5E M A ROD DEMENT FARMS TRINKLE AG FLYING INC <br /> Operator Identification Number Site Identification Number Planted Area 25001 KASSON RD <br /> 39-11-39-06-3900856 GHS-1 48.40 ac TRACY,CA 95304 _ <br /> Location Block ID DE GHS-I <br /> MAYBECK <br /> Date/Time AppliedArea Treated Commodity or Site Treated Crop ID <br /> —Proposed;03<W1-1-0800_ — _Actual---Actual: 02/11/11 0800 48.40 ac PREPLANT <br /> Restricted Chemical Registration Number Total Formulated Rate Per Dilution <br /> Material Number I Product and Manufacturer From Label Product Used ac Volume <br /> ` AMINE 4 2,4-D 34704-120 6.05 1.00 10.00 <br /> UAP-LoW nd Industries gal pt gal <br /> r Days Reentry Days Preharvest Application Supervised By NW N NE <br /> Until Dry 0 day I CHUCK PROCTOR _ <br /> Environmental Changes/Comments <br /> -- <br /> Target Area <br /> _ <br /> Submitted By: Date Time PCA Name S W S SE <br /> CHUCK PROCTOR 2/14/201 02:39 PM P.OSTERLIE 3422 <br /> Received By: Box No. Date Time Approved <br /> Denied <br /> r <br /> _ <br /> _ <br /> RECEIVED <br /> FEB 15 2011 <br /> ACR. COW.-MCKfON <br />