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TATEOFCALIFOPES EPAPRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> TATE OF CA OF PESTICIDE REGULATION <br /> R-ENF-017C(REV.VAB) <br /> nstructions: Submit the white cop v to the Agricultural Commissioner within 10 days of month following application. <br /> ONTH 1 YEAR 2 <br /> NURSERY 3 <br /> Page_of <br /> PERATOR ID/PERMIT NUMBER OPERATOR(GPOWERI �J,✓ ADDRESS �/ n / CITY �� ZIP CODE <br /> C�r/(<^}�G{31NC 6 -grodD ave' ' /�rp T //L✓d-+: a S.J7 <br /> ITE IDE/N,TIIFqFICATION/NUMBER/ TOTAL PL NTED ACREAGE/UNITS COUNTY NUMBER SECTION TOWNSHIP WE BASE 3 MERIDIAN <br /> 10 11 `9 12 e�� 13 Q� 4 W 1s S M H <br /> OMMOOITY/SITE TREATED FIELD LOCATION <br /> 7 �� 10 w 5 4d flr� 3 <br /> CHEMICAL DATWIME ACREAGEAINRSAPP. BLOCK ID EPA OR STATE REGISTRATION NUMBER TOTAL PRODUCT USED DAYS RATE DILUTION PRODUCT AND MANV CTURER <br /> :DDE NUMBER APPLICATION TREATED METHOD (IF (FROM(ABEL) (CIRCLE ONE UNIT REENTRY PER ACRE <br /> COMPLETED (CHECK APPLICABLE) OF MEASURE) <br /> 7 22 23 24 ONE) 25 26 2l 28 29 30 31 <br /> G/oai�XR 01t J I W, r- <br /> /�� /20 OTHER❑ 3l�2- LB OZ PT OT <br /> L��2� MR ❑ C r t Sa Ip ll� r S�0ixo S i3-Ai7 <br /> C] y. <br /> 92o OTHER ��J �O- B Z PT OT GA /�6LG4 <br /> GR ❑ <br /> AIR ❑ <br /> OTHER ❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR <br /> OTHER H LB 02 PT OT GA <br /> OR Cl <br /> AIR <br /> OTHER 18 OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER ❑ LB OZ PT OT GA <br /> GR ❑ a <br /> MR Cl Wyk <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ Zll <br /> AIR <br /> OTHER LB OZ PT OT GA <br /> GR ❑ V 11 <br /> MR p "ff.QZ A" v� <br /> OTHER❑ LE OZ PT OT GA <br /> OR ❑ <br /> MR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR <br /> MR <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> MR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> MR Cl <br /> OTHER❑ I LB OZ PT OT GAII <br /> GR 8 <br /> OT <br /> OTHER❑ LB OZ PT OTMR <br /> GA <br /> REPORT PREPARED BY DATE z 3 ty REVIEWED BY <br /> Dorm Distzibution: Whig copy--CGemty r gdculturel Cc Trrnisvonnr; Pink cony--DPn; Canary--Applica Gr, FOR AGENCY USE ONLY <br />