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1 (10.70) upr: PRECISSI FLYING SERVICE Copy #4 STATE OF CALIFORNIA — ENVIRONMENTAL. PI ROTEC T I ON AGENCY DEP,AR-I"MENT OF P,ES-I-I C✓'I DE REGULATION M F,EST'IC;IDE USE REI�'GRT (33--025 Rev 3/90) PMIS 033 i . #: DF09-140 'r i NURSERY If JNTYISECTIONITOWNSHIP IRANGEIBASE & MERIDIAN I METHOD I PERMITTEE / CUSTOMER I APPLICATOR NAME AND ADDRESS I Fes- , I I I I I I 1 I A 1 31 1 3N 18E I M IA I JOHN A. FUGAZI I PRECISSI FLYING SERVICE INC. I i =RATOR IDENTIFICATION NUMBEI SITE IDENTIFICATION NUMBERI PLANTED AREA 111919 NORTH LOWER SACRAMENTO ROAD I I I I 1 39--09-39-0153 1 1-21) 1 27.00 ACRE I LODI CA 95242 1 ]CATION I BLOCK ID: I I I S/MOSHER SLOUGH I I PATE ! TIME APPLIED I AREA TREATED I COMMODITY OR SITE TREATED I I I I I f 1, 7posed Actual I Actual I I I_I_I—I—I 1�1�141_i 1 0226-09 03-08-09/11:00 1 27.00 ACRE I WHEAT I I 1 I PRODUCT I REGISTRATION I TOTAL FORMULATED I RATE IDILUTION I �.-3"TRICTEI CHEMICAL I AND I NUMBER I PRODUCT USED I PER IVOLUME f MATERIAL I NUMBER I MANUFACTURER I FROM LABEL I AND UNITS I ACRE IGAL/ACRE I S I NHOMENE MCPA BROADLEAF 100228-00143-PA-71368 1 4.22 1 1.25 1 10.00 i I ]HERB. NUFARM I I GAL I PT I I NO 1 ISHARK EW I 00279-03242-AA 1 0.16 1 0.75 1 10.00 1 r I IFMC I I GAL 1 02 1 1 M ` HOURS REENTRY I DAYS PREHARVEST I APPLICATION SUPERVISED BY INW IN INE I 2 DAYS 1 7 DAYS I DONALD PRECISSI I I I 1 VUIRONMENTAL CHANGES / COMMENTS I I I I + 1--------------- I------------ 1--------------- I IW I IE 1 1 I TREATMENT I I ! 1 AREA I I SUBMITTED BY: I DATE I TIME I PCA NAME I--------------- I-------- -- -- 1--------------- I 1 03-09-09 1 09:28 1 DENNIS FELUCCA ISW IS ISE 1 10EIVED BY: I BOX NO. I DATE I TIME I _IAPPROVED I I f I f I I I IDENIED I I I 1 F F i s Aub 2 4 Zoa� PGR.CoW.�S-��.lu'�