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iNS?LL (S.") user- PRECISSI FLYING SERVICE ` Copy #i <br /> STATE OF CALIFORNIA - ENVIRONMENTAL- PROTECTION AGENCY <br /> DEPARTMENT OF PF_STICIDE REGULATION <br /> PESTICIDE USE REPORT (33-025 Rev 3/90) PMIS 0033 <br /> REC. #: 99-450 <br /> I I NURSERY <br /> ICOIIMYISECTION ITOWMIPIR4NBEIBASE R MERIDIAN I METHOD I PERMITTEE / CUSTOMER I APPLICATOR NAME AND ADDRESS I <br /> I I I I I I I I I <br /> ` 1 39 1 2.`, 11N I BE I M IA_ _I GRUWELL & MICHID-L07TI _ I PRECISSI FLYING SERVICE INC. I <br /> ILIPERATOR IDENTIFICATION NUMMU SITE IDENTIFICATION NUMBERI PLANTED AREA T 1 11919 NORTH LOWR SACRAMENTO ROAD <br /> ! I ! I <br /> " 139-99-39-001% 11C-7C _._ 1 75.00 ACRE I LODI CA 95242 <br /> 1 LOCATION I BLOCK ID: 1 <br /> I I ! <br /> I E/VAN ALLEN RNID I I <br /> (DATE / TIME APPLIED I AREA TREATED I COMMODITY OR SITE TREATED I I <br /> IProoased Actual 1 Actual I I I_I—I—I_-1___1_1_1__1__1 1 <br /> 107-19-99 07-19-99/10:00 1 35.00 ACRE I CORN 4 I <br /> I I I PRODUCT IRESISTRATIDPl ! TOTAL FORMULATED I RATE IDP UTION I <br /> IRESTRICTEI CHEMICAL I AND I NUMBER I PRODUCT USED IPER IV)LUME I <br /> 1MATERIAL I NUMBER . I _____MANUFACTURER _ I FROM LABEL I AND UNITS I ACRE IGAL/ACRE I <br /> I NO I ICOMITE 1 400-104 1 8.75 1 2.00 1 10.00 1 <br /> I I IUNIROYAL I I GAL I _.�PT I I <br /> ` ! HOURS REENTRY I DAYS PREHARVEST 1 APPLICATION SUPERVISED BY INN IN 14E — I <br /> 1 7 DAYS ! 30 DAYS 1 DON PRECISSI ! 1 I I <br /> I ENVIRONMENTAL CHANGES / COMMENTS <br /> .. ! l------- = — I---------- --------------- <br /> I w <br /> --------------IN I IE I <br /> I I I TREATMENT I I <br /> I I I AREA 1 <br /> I SUBMITTED BY: 1 DATE I TIME I PCA NAME I---------- 1-- --------- 1-- ------- 1 <br /> ! 1 07-20-99 1 00:04 1 BILL VI0401..0 ISN IS ISE <br /> I RECEIVED 8Y: I BOX NO. i DATE I TIME I _IAPPRCVED I I I I <br /> I !DENIED I I I <br /> DECEIVED <br /> JUL 2 6 1999 <br /> AGR. COMM. - Siv%.;r%I UN <br /> )a ,)": v <br /> r <br />