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i fl". (12.70) m-er: PRECISSI FLYING SERVICE Copy #4 STF?Tf= oF CAl_IFORNIf-I - ENVIRONMENT;:L- PIPOTEC;T"ION AGE-INCY DE::P -IRTMIrNT OF PESTICIDE RE=GUI-A'3':f O N 's I 'ESTIC:IDE USE REPORT (331-025: fRev 3/S)o) PMIS 033 iE,> #: DF09-139 J-3 NURSERY 0 INTYISECTIONITOWNSHIPIRANGEIBASE & MERIDIANIMETHODI PERMITTEE / CUSTOMER 1 APPLICATOR NAME AND ADDRESS 1 I I I f I I I I 1 31 1 3N 18E I M IA I JOHN A. FUGAZI I PRECISSI FLYING SERVICE INC. I IJ, :RATOR IDENTIFICATION NUMBEI SITE IDENTIFICATION NUMBERI PLANTED AREA 1 11919 NORTH LONER SACRAMENTO ROAD 1 I I 1 1 39=09-39-00153 1 1--31) 1 40.00 ACRE I LODI CA 95242 I T11 ATIQN I BLOCK ID: I I 1 SIMOSHER SLOUGH I I D"TE I TIME APPLIED I AREA TREATED I COMMODITY OR SITE TREATED i I I I I 1 P ,posed Actual I Actual I I I_I_I_I—I_I_I_I_I�I I 02-26-09 03-08-09111:00 1 40.01 ACRE I WHEAT I I I I I PRODUCT I REGISTRATION I TOTAL FORMULATED I RATE IDILUTION i &-jTRICTEI CHEMICAL I AND 1 NUMBER I PRODUCT USED 1 PER IVOLUME I MATERIAL I NUMBER I MANUFACTURER I FROM LABEL I AND UNITS I ACRE 16AL/ACRE I S I 1RHOMENE MCPA BROADLEAF 108228-00143-AA-71368 1 6.25 1 1.25 1 10.00 1 I IHERB. NUFARM I I GAL f PT I I NO I ]SHARK EW I 00279-03242-AR 1 0.23 1 0.75 1 19.00 1 r- 1 IFMC I I GAL I OZ I i `'HOURS REENTRY I DAYS PREHARVEST I APPLICATION SUPERVISED BY INW IN INE 1 2 DAYS 1 7 DAYS I DONALD PRECISSi i I I i iVIRONMENTAL CHANGES i COMMENTS 1 I I I I------------- I_._----------- I---------_...----- I IW I IE 1 I i TREATMENT I I T# 1 1 AREA I I SUBMITTED BY: l DATE I TIME I PCA NAME I-------------- 1---------------- I------------ I 1 03-09-09 1 09:28 1 DENNIS PELUCCA ISW IS ISE I 'ECEIVED BY: I BOX NO. I DATE 1 TIME I ]APPROVED I I 1 I I I —IDENIED I 1 I I F F, �f F RECEIVED AUG 2 4 2009 AGR. COMM.-STOCKTON