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STATE DEPARTMENT <br /> PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENTRE PESTICIDE REGULATION <br /> PR-ENF-017C(REV.2/99) <br /> Instructions: the white cop to the Agricultural Commissioner within 10 days of month following application. <br /> MO 1 YEAR 2 <br /> NURSERY 3 <br /> Page_01_ <br /> OPERATOR IDIPERMIT NUMBER OPERATOR(GROWER) .',j ADDRESS / �.y` CITY ZIP CODE <br /> 5 /) — �,//;Afir/ 6 33rG� o E 7 B 11910'At <br /> SITE IDENTIFICATION <br /> �NUMBER TOTAL PAANNT ACREAGFJUNITS COUNTY NUMBER SECTIONTOWNSHIP <br /> �L TOWNSHIP RANG6)(/=> <br /> E�/ SE 8 MERIDI <br /> 9 D�� � 10 9� 11 12 pC(� 13 O3 14 ✓C� W 15 5 H <br /> COMMODITY/51 I E TREA TED FIELD L�O[CATIONj <br /> 17 I 19 L Q / oee,- <br /> 111CA DA=IME ACREAGEAINITS APP. BLOCK ID EPA OR STATE REGISTRATION NUMBER TOTAL PRODUCT USED DAYS RATE PER DILUTION PRODUCT AND M UFAOIDRER <br /> UMBER APPLICATION TREATED METHOD (IF (FROM LABEL) (CIRCLE ONE UNIT REENTRY ACRE <br /> COMPLETED (CHECK APPLICABLE) OF MEASURE) <br /> ONE) <br /> 21 22 23 24 25 26 27T 28 29 30 31 <br /> A 3 V 0-067 <br /> SOTXIRER g �+ D� LB(OPT DT GA <br /> GR <br /> uft <br /> OTHER LB 02 PT QT GAAIR w <br /> SIR <br /> OTHER v 4W' A+ <br /> LB OZ PT QT GA e <br /> GR ❑_ <br /> A,R (� <br /> OTHER LB OZ PT OT GA MAY 0 5 2043 <br /> OR ❑ <br /> OTHERLB OZ PT OT GA <br /> SAN JUHyuuv uvuN I Y <br /> OR ❑ UW-1A W.L 801% IRACY <br /> AIR <br /> OTHER g LB OZ PT QT GA <br /> GR <br /> AIR <br /> OTHER LB OZ AT QT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER ❑ LS OZ PT OT GA <br /> GR ❑ <br /> AIR <br /> OTHER❑ LB OZ PT OT GA <br /> GR <br /> AIR <br /> OTHER LB OZ PT QT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR <br /> OTHER LB OZ PT QT GA <br /> GR <br /> AIR <br /> OTHER LB OZ PT QT GA <br /> GR <br /> AIR <br /> OTHER E]j LB OZ PT OT GA <br /> REPORT PREPARED BY�k�'''f '^ REVIEWED BY <br /> ' / .�L/l.0 DATE__� '�' 1 <br /> FlINCYL Y <br />