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JUL(C-9.M/ItASif t-9M M4U JG-1) Uax:Shy Fvm NU*Y srZFZF 3MMrM veMoe:fa <br /> i STATE OF CALIFORNIA - ENVIRONMENTAL PROTECTION AGENCY <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PESTICIDE USE REPORT M-025 Rev 3190)PMIS 00333 <br /> Rec.#SFS-09-03494-3 <br /> ( ) Nursery <br /> County' Section TowashiQRange lBaseAkMaidianjMethod Permittee 1 Customer Applicator Name Address <br /> 39 1 7 42N 07E M I G A.VAN GRONINGEN&S01 STANISL.AUS FARM SUPPLY <br /> Operator Identification Number Site Identscation Number Planted Area 624 EAST SERVICE]LOAD <br /> 39-09,-3901377 26-IB 35.00 ac MODESTO,CA 95358 <br /> Location Block IDVGS-26-I.B <br /> WACKTONE,N/CLWWN <br /> Date/Time Applied Area Treated Cdity at Site Treated Crop ID <br /> Proposed:03125/09 1:00 am Actual <br /> Actual: 05/25109 1:00 pm 34.00 ar CGRNMWEET 29119-0 <br /> Restrict Chemical Registration Number Tamil Formubod Rate Per DOutian <br /> Material Number Product and Manufacturer From Label. Product Used ac V ohsme <br /> BWENTURE EC-CA 74506-59-AA 0.56 2.10 20.00 <br /> P1 ox gal <br /> F N 999110 SYLGARD 309 2935-50161-AA 0.16 0.6000 20.00 <br /> BELENA gal az gal <br /> Days Reenby I Days Preharvest Application Supervised By NW N NE <br /> 12 br 1 day MARK AMADOR <br /> EnvkonwAad Changes/Comments <br /> W E <br />` Target Area <br /> Submitted By: Date Time PCA Name 5W S SE <br /> 5/28/201? 03:58 PM BRYAN VAN GROMME1, <br /> Received By: Box No. Date Time A <br /> Denied <br /> I� <br /> ECEIVE <br /> JUN 1 2 2009 <br /> AGR, COMM. SIMMS <br /> RECEIVED <br /> JUN 0 12009 <br /> Alit UuMhL.SIOCKTON <br /> - <br /> a <br /> L <br />