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STATE OF CALIFORNIA <br /> DEPARTMENTPESTICIDE REGULATION PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT <br /> PR-ENF-017C(REV.299) <br /> Instructions:Submit the white copy to the Agricultural Commissioner within 10 days of month following application. <br /> MONT03 <br /> H 1 YEAR 2 <br /> NURSERY 3 <br /> Page_G!_ <br /> OPERATOR ID/PERMIT NUMBER OPERATOR(GROWER) ADDRESS CITY ZIP CODE <br /> (gJ;l(i 6 3 7`T2 & 537 <br /> 51TE IDENT/IF/.ICr/ArTIGON NUMBER,I TOTAL PANTE ACREAGEIUNITS COUNTY NUMBER SECTION �L TOWNSHIP RANGE / BASE&MERIDIAN <br /> 9 4,r✓ A 10 ll 12 02e/ 13 65 14 Op W 15 5 H <br /> COMMODITYI5tTE TREATED FIELD LOCATION// <br /> 4.e 112 <br /> CAL DAM-TIME ACREAGEIUNITS APP. BLOCK 10 EPA OR STATE REGISTRATION NUMBER TOTAL PRODUCT USED GAYS RATE PER DILUTION OOUCTANO MANUFAGIDRER <br /> C M6ER APPLICATION TREATED METHOD (IF (FROM IAEEQ (CIRCLE ONE UNIT REENTRY ACRE <br /> COMPLETED (CHECK APPLICABLE) OF MEASURE) <br /> 21 22 23 24 ONE) 25 26 27 26 29 3 31 <br /> (,�/c AIR <br /> G y/{� 4 /� D <br /> / 3 0 nER❑ n'�/L /Iy�� V// J� LB PT QT GA 1V OZ ,- O1�L' �/��).�y���A./4 a��,,L�� <br /> / r I MOTHER❑ '•' A/ rol�t/ LB OZ PTS GT GA rr�• 64OZ C-46 Qcw 5.C.AC'/fIao <br /> OR 45- <br /> AIR n _ <br /> OTHER❑ -.2D LB OZ PTT D7 .( r} <br /> Be ❑ <br /> AIR <br /> OTHER LB OZ PT OT GA <br /> GR ❑ <br /> AIR <br /> OTHER LB OZ PT OT GA <br /> OR <br /> AIR <br /> OTHER❑ LB 02 PT OT GA <br /> Be ❑ <br /> AIR <br /> OTHER HI LB OZ PT QT GA <br /> GR ❑ <br /> AIR <br /> OTHER LB OZ PT OT GA 7 <br /> F <br /> AI yt <br /> AR <br /> OTHER LB OZ PT OT GA _ <br /> GR <br /> AIR ❑❑ <br /> OTHER LB OZ PT OT GA <br /> OR ❑ /y <br /> AIR ❑ nFP •9E AGEt•-Z►��GY. <br /> OTHER ❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR <br /> OTHER LB OZ PT OT GA <br /> OR ❑ <br /> AIR <br /> OTHER LB OZ PT OT GA <br /> OR <br /> AIR <br /> �J AOTTHEERR-_ p� LB OZ PT OT GA <br /> REPORT PREPARED BYDATEa� <br /> LR ^1N1Y''0C�M1Y <br /> EVIEWEDBY AP4l.__.J ._—j--- J- -.�—�. _J' <br /> -•rt,.,. �, �. ^— <br />