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STATE DEPARTMENT <br /> PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PR-ENF-0170(REV,2/B9) <br /> Instructions: Submit the white cop to the Agricultural Commissioner within 10 days of month following application. <br /> M*i YEAR 2 <br /> NURSERY 3 <br /> Page_of <br /> OPERATOR IDIPERMIT NUMBER OPERATOR(GROWER) ADDRESS CITY ZIP CODE <br /> -03- 5 o�ll' 6 3-5&eX3 7 2 %53'7 <br /> SITE IDENTIFICATION NUMBER �pj' TOTAL PLA tEDD�ACREAGE/UNITS COUNTY NUMBER SECTION TOWNSHIP�j RANGE ( BASE 6 MERIDIAN <br /> 9 �L/� E- '� (V 10 i k/ 11 / 12 �7 13 pV t E 15 S H <br /> COMMODITY/SITE TREATED FIELD LOCATION <br /> 17 ,B 93 <br /> C L DATE?IME ACREAGEAINRS APP. BLOCK ID EPA OR STATE REGISTRATION NUMBER TOTAL PRODUCT USED DAYS RATE OILVT PRODUCT AND MANUFACTURER <br /> COOL BER APPLICATION TREATED METHOD IIF (FROM"BEL) (CIRCLE ONE UNIT REENTRY PER ACRE <br /> 21 1 COMPLETED (CHECK APPUCABLE) OFMEASURE) <br /> 22 23 24ONE) 25 26 27 2B n !_ 30 31 <br /> "{LJ OTTHER 0 ---' �'Ste— s/✓ LB � T OT GA I 91 �/Z �} (NL D4 r <br /> MR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER ❑ LB OZ PT OT GA <br /> OR ❑ <br /> NR <br /> OTHER LB OZ PT OT GA <br /> OR ❑ <br /> AIR <br /> OTHER LB OZ PT OT GA <br /> OR 8OR <br /> OTHER ❑ LB OZ PT OT GA V <br /> OR D <br /> AIR 0 Is Ir <br /> OTHER❑ LB OZ PT OT GA F +� <br /> OR ❑❑ <br /> MR <br /> OTHER ❑ LS OZ PT OT GA ,It g� p 3 7�03 <br /> OR ❑ <br /> AIR ❑ <br /> OTHER❑ LB .OZ PT OT GA SAN JV71�J1itl l�`—�uN <br /> GR ❑ <br /> NR 11J . <br /> OTHER ❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR BAR <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> MR ❑ <br /> /OTHERR LB OZ PT OT GA <br /> PvCN`fT PPCDAPED Pv vie/rJ��= . -_ I--. I— I- I- <br /> �/14[i2 I— I RF...- QED F <br />