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JILL(C-8.8718-8.80/[-1-8.86 M-9.1) User:Alpine Helicopter Service 8128/20, 12:34:15PM Version:6.1 ff <br /> t <br /> STATE OF CALIFORNIA - ENVIRONMENTAL PROTECTION AGENCY <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PESTICIDE USE REPORT (33-025 Rev 3190) PMIS 0033 f <br /> Rec.#M06-APL-00832-1 <br /> ( ) Nursery <br /> County Section Township Range Base&Meridian Method Permitte/Customer Applicator Name&Address <br /> 39 30 3N I 8E M A J&J Farming, LLC_. ALPINE HELICOPTER SERVICE, IN( <br /> Operator Identification Number Site Identification Number Planted Area P.O. BOX 1405 I <br /> 39-06-39000461 1-9 20.00 ac _ __ i WOODBRIDGE,CA 95258 <br /> Location Block ID 1-9 2006 F <br /> 2006 E/Jack Tone Road S/Mosher Slough I� <br /> Date/Time Applied Area Treated Commodity or Site Treated Crop ID <br /> Proposed:08/26/06 11:00 am Actual <br /> Actual: 08/26/06 11:30 am 19.00 ac Beans Dried 15001-00 <br /> Restricted Chemical Registration Number Total Formulated Rate Per Dilution <br /> Material Number Product and Manufacturer From Label Product Used ac Volume <br /> N 216 Dimethoate 4EC 19713-231-AA 1.78 0.7500 10.00 <br /> Drexel Chemicals Co. gal pt gal <br /> N 2297 Warrior with Zeon 100-1112-AA 0.57 3.84 10.00 <br /> Syngenta Crop Protection Inc. gal oz gal <br /> BUFFER 10951-50041-AA 1.90 0.1000 10.00 <br /> BR1TZ pt pt gal <br /> Days Reentry Days Preharvest Application Supervised By NW N NE <br /> 48 hr 0 day STEPHEN BRUNSKILL <br /> Environmental Changes/Comments <br /> W E <br /> Target Area <br /> Submitted By: Date Time PCA Name SW S SE <br /> Joel Dozhier 8/28/200 12:34 PM Wiltiam Vignolo 8167 <br /> Received By: Box No. Date Time Approved <br /> Denied <br /> D <br /> AUG 2 9 2006 <br /> SAN JOAQu{N COUNTY <br /> AGRIC.COMM. LODI <br />