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OF <br /> STATETMENTOFPEA PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> MENF-W(REV.299) <br /> NURSERY <br /> COUNTYNO. SECTION I TOWNSHIP RANGEBASES APP-METHOD PERMITTEFJPROPERTYOPERATOR APPLICATOR NAME AND ADDRESS <br /> MERIDIAN AIRQ <br /> N GROUN <br /> OPERATOR IWE�TNUMBERS 4 T '" 5 OTHER <br /> SITE IDENTIFICATION NUMBER TOTAL PLANTED JERRY ATKINS <br /> �7 � // ACRESIUNITS 12332 E. Hwy 26 <br /> �Q YCc,2 B - 1d V <br /> LOCATION BLOCK ID Stockton, GA 95215 <br /> J �^ (IF APPLICABLE) <br /> 11 "'S sG/�`e /,/� I QC1 12 13 <br /> DATEM APPLIED ES/UNITS TREATED COMMODITYMTE TREATED ! <br /> 14 115 16 S <br /> CHEM,40. MA FACTUREMNAME OF PRODUCT APPLIED EPA/CALIF.REGISTRATION NUMBER FROM LABEL TOTAL PRODUCT USED RATE DILUTION <br /> 17 1 19 20 21 22 <br /> LB f8. aT. GA. 75a .:S� <br /> �(9\ 8 <br /> L.B. PT. OT. GA. <br /> LB. OZ. � CIT. GA. ` <br /> OZ. Pr" or. GA. <br /> LB" OZ. Pr. CIT. GA. <br /> J U L — 7 jo) <br /> LB. oz. PT, T. [u. <br /> DAYS REENTRY DAYS PREHARVEST APPLIED/SUPERVISED BY Q OSP 01 63497 <br /> z. 25 SAN JOAO;)IN COUNTY <br /> • Submit WHITE AND PINK COPY to the COUNTY AGRICULTURAL COMMISSIONE w1 In fl$$ lication. <br /> Form Distrubution: White copy--Agricultural Commissioner, Pink copy--DPR; Canary copy--Applicator, Goldenrod copy--Growar <br /> l <br /> k� <br /> L <br />