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STATE DEPARTMENT PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PR ENF-017C(REV.2188) <br /> Instructions: Submit the white cove to the Agricultural Commissioner within 10 days of month following application. <br /> ijz. t- o� <br /> MONTH I 1 YEAR 2 <br /> NURSERY 3 <br /> Page_of <br /> OPERATOR ID/PERMIT NUMBER OPERATOR(GROWER) ADDRESS CIN ZIP CODE <br /> -03- �// 5 i/lo,�/r - ,l; 6 6G� o ,ed %u B 953 <br /> SITE IDENTIFICATION`NUwMBBER Q TOTAL PLANTED ACREAGE/UNITS COUNTY NUMBER SECTION// TOWNSHHIIP7 RANGE/�� BASE i MERIDIAN <br /> 9 /D� r r✓ ��J 10 "t N J 11 3 12 P 13 `�� l C.(� 405 S H <br /> COMMODITY/SITE TREATED FIELD LLOCATION �`� <br /> 17 1B L! a� a? <br /> C CATETIMEAOREAOENNITS APP. BLOCKID EPA OR STATE REGISTRATION NUMBER TOTAL PRODUCT USE DAYS RATE DIWTIO PRODUCTANDMANUFACTURER <br /> COL Y.E. APPUCATION TREATED METHOD (IF (FROM LABEL) (CIRCLE ONE UNIT REENTRY PERACRE <br /> COMPLETED (CHECK APPLICABLE) OF MEASURE) <br /> 21 22 MM 23 24 ONE) 25 26 27 28 2( 30 31 <br /> 4-01 am M— <br /> MR 11 00 !94 <br /> 6,7100 40 OTHER[I D ( ^ LB O/ PT OT GS/A I Tv�AOZ <br /> DR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ ry �- <br /> OTHER ElLBOZ PT OT GA R- <br /> OR ❑ <br /> NR <br /> OTHER LB OZ PT OT GA MAY 5 <br /> GR ❑ <br /> AIR <br /> OTHER LB OZ PT OT GA Jr11V J <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 OZ PT OT GA <br /> GR ❑ <br /> AIR <br /> OTHER <br /> LB OZ PT OT GA <br /> GR ❑ <br /> AIR <br /> OTHER❑ LS 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 /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ 1.8 OZ PT OT GA <br /> OR ❑ <br /> NR ❑ <br /> '�� /J <br /> OTHER❑ LB OZ PT OT GA <br /> REPORT PREPARED BY `$_t(Jl � /� DgTF L�� r/O 3 REvlc D BM -- �— <br /> .Inh� e. .. �Jhltn ., ..I1-Rn((i ., ., mnill,...., � I F IENOY/ if LY <br />