Laserfiche WebLink
JILL(C-8.21/R-8.13 IH-7.731D-9.1) User:Alpine Helicopter Service 8/18/201 9:29:49AM Version:5.6 <br /> STATE OF CALIFORNIA - ENVIRONMENTAL PROTECTION AGENCY <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> F! PESTICIDE USE REPORT (33-025 Rev 3190) PMIS 0033 <br /> FRec.#M05-APL-00682-1 <br /> ( ) Nursery <br /> L.Counry Section Township Range Base&Meridian Method Permitte/Customer Applicator Name&Address <br /> 39 30 3N 8E M A J&J FARMING LLC ALPINE HELICOPTER SERVICE,IN( <br /> Operator Identification Number Site Identification Number Planted Area P.O.BOX 1405 <br /> 39-05-39-00461 1-9 20.00 ac WOODBRIDGE,CA 95258 <br /> FLocation Block ID 1-9 <br /> E/Jack Tone Road S/Mosher Slough <br /> Date/Time Applied Area Treated Commodity or Site Treated Crop ID <br /> FProposed:08/12/05 7:54 ant Actual <br /> Actual: 08/12/05 7:54 am 20.00 ac Tomatoes 11005-00 <br /> Restricted Chemical Registration Number Total Formulated Rate Per Dilution <br /> ,Material Number Product and Manufacturer From Label Product Used ac Volume <br /> j N 2321 Asana XL 352-515-AA 1.41 9.00 10.00 <br /> DuPont Crop Protection al Oz gal <br /> N 5698 Intrepid 2F(Dow) 62719-442-AA 1.25 8.00 10.00 <br /> Dow Agrosciences al OZ gal <br /> N 2160 DIMETHOATE 267 51036-00198-AA-00000 2.50 1.00 10.00 <br /> Crompton al gal <br /> N 0 B-85 10951-50045-AA 0.25 1.60 10.00 <br /> ' Britz Fertilizers <br /> gal oz gal <br /> Days Reentry Days Preharvest Application Supervised By NW N NE <br /> 48 hr 0 day Joel Dozhier <br /> Environmental Changes/Comments <br /> i W E <br /> 1 Target Area <br /> Submitted By: Date Time PCA Name SW S SE <br /> 'Joel Dozhier 08/18/05 9:29AM WILLIAM VIGNOLO 8167 <br /> Received By: Box No. Date Time Approved <br /> Denied <br /> F <br /> } i 17" <br /> '12 <br /> - <br /> AIIe' R �Q® <br /> 1 <br />