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STATE OF DEPARTAEAL OF <br /> PE4 PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENTRE PESTICIDE REGULATION <br /> PR-F.NF-0t7C(REV.2/89) <br /> Instructions: Submit the white copy to the Agricultural Commissioner within 10 days of month following application. <br /> MONTo3 <br /> H 1 YEAR 2 <br /> NURSERY 3 <br /> Page_Of_ <br /> OPERATOR� PERM�T NUMBER <br /> D� OPERATOR(GROWER) ' / 6DD✓ TCITY/ B ��� <br /> RESS <br /> IP COD <br /> SITE 10SNNTIRC33TION NUMBER TOTAL PANTED ACREAGEIUNITS COUNTY NUMBER SECTION TOWNSHIP RANGES BASE&MERIDIAN <br /> 9 r/�Z- — le 10 ii ✓ 12 a1 13 �3 16 05 S H <br /> COMMODITY/SITE TREATED FIELD LOCATION <br /> 17 9 S •1 -33 <br /> E <br /> 1 DAT&IME ACREAGEAINITS APP. BLOCK 10 EPA OR STATE REGISTRATION NUMBER TOTAL PRODUCT USA DAYS RATE PER OIL ON PRODUCT AND MANUFACTURER <br /> C <br /> USER APPLICATION TREATED METHOD (IF (FROM UMBEL) (CIRCLE ONE UNIT REENTRY ACRE <br /> COMPLETED (CHECK APPLICABLE) OF MEASURE) <br /> 21 22 23 24 ONE) 25 6 27 25 29 39 31 <br /> cT. /•/�� 2 7 G <br /> DO _ OITHER � ✓�� - B /tI GA ' ^��^ <br /> OR ❑ <br /> AIR <br /> OTHER LB OZ PT OT GA <br /> OR ❑ <br /> AIR Cl <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 /> OTHER LB OZ PT OT GA <br /> OR <br /> AIR <br /> OTHER LB OZ PT OT GA <br /> OR C3 <br /> \/ AIR ❑ A <br /> + OTHER ❑ LS OZ PT OT GA <br /> GR ❑ <br /> MR ❑ <br /> OTHER ❑ LB OZ P7 OT GA It )' q 200 <br /> OR <br /> AIR <br /> OTHER LB OZ PT OT GA J/'tly J'vrL '�.)IV r <br /> OR <br /> El _L 'TRACY <br /> OTHER ❑ LB OZ PT OT GA <br /> OR ❑ <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 OZ1 PT DT GOAL <br /> REPORT PREPARED BY It� T104 DATE SI Ta/ REVIEWED BY <br /> dJ � d ..e1 _.J— JI__. NCY,.___ ,1-- J- J <br /> -���r��, � Nhl!d.�,,. --C ,ricil����„ ,r,mrn�rn Pr�. v--r„-., Can�I-,--�DDllc old Ap -y— - <br />