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I ;9, i user: PRECISSI FLYING SERVICE � ./ Copy #1 STATE OF CALIFORNIA ENVIRONMENTAL P,RO"fECTION AGENCY DEPARTMENIf OF F'ES-fICIDE REGULATION PESTICIDE USE REP,ORI" (33-O25 Rev 3/90) F'MIS 0033 REC. M: 99-117 f I NURSERY I COUNTY I SECTION ITM&ISHIPI RANGE I BASE & MERIDIAN I METHOD i PERMITTEE / CUSTOMER I APPLICATOR NAME AND ADDRESS I I I I I I I 1 I 1 39 1 25 1 IN I BE I M IA I GRUWELL : MICHELOTTI I PRECISSI FLYING SERVICE INC 1 IOPERATOR IDENTIFICATION NUMBEI SITE IDENTIFICATIDN NUMBERI PLANTED AREA 111919 N LOWER SACTO RD I I 1 1 I _ ;39-95-39-0015E 11C-7C 1 75.00 ACRE I LODI CA 95242 I I LOCATION I BLOCK ID: I I I I E/VAN ALLEN ROAD t (DATE / TIME APPLIED I AREA TREATED 1 COMMODITY OR SITE TREATED I I I I I I IProposed Actual 1 Actual I i 1_I—I—I—i 103-01-99 03-0-99/10:30 1 75.00 ACRE I WHEAT I 1 i PRODUCT I P,EGISTRATION I TOTAL FORMULATED I RATE (DILUTION I IRESTRICTEI CHEMICAL I AND I NUMBER I PRODUCT USED I PER IVOLUME I _ IMATERIAL I NJMBER I MANUFACTURER I FROM LABEL I AND UNITS I ACRE GAL/ACRE I YES I IWEEDAR 64 1 264-2-AA 1 9.718 1 1.00 1 10.0'0 1 I I 119140E P'OULENC i I GAL I PT 1 1 I HOURS REENTRY I DAYS PREHRRVEST I APPLICATION SUPERVISED BY INW IN INE I 1 2 DAYS I UNTIL DRY I DON PRECISSI I I I ENUIRONMENTAL CHANGES / COMMENTS I I I ------------ I--------------- I------—----- 1lV I IE I I I TREATMENT I I I AREA I — I SUBMITTED BY: I DATE I TIME I PCA NAME I------------- I------------ ---------- I 1 1 03-10-99 1 09:04 1 BILL VIGNOLO ISW IS ISE I I RECEIVED BY: I BOX NO. I DATE I TIME I —IAPPROVED I I I I — I I I I I IDENIED Ikc V I I Vt W4 i Al 12 19K� w SAID JuikQuu �,VulATY DEPT. OF AGR. - SC: as.f3r;