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BTATEOFCALIFORNIA <br /> 7EPART FOFFPESTICIDE REGULATION PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> PR ENF OITC(REV.2 W) <br /> Instructions: Submit the white cop v to the Agricultural Commissioner within 10 days of month following application. <br /> N&Iff 03 <br /> VUN'H I YEAR 2 <br /> NURSERY 0 <br /> Page_of <br /> JPEMTORIDIP-3 NUMBER OPERATOR(GROWER) ADDRESS 4464 CITY 9��1T RPC <br /> 3 -03 39a�1 l 't 5 )L'/ ' E <br /> 3ITE IDENTIFICATION NUMBER TOTAL PLANQEO ACREAGE/UNITS COUNTY NUMBER SECTION TOWNSHIP RANGE ! BASE B MERIDIAN <br /> (OP- - 1 10 I s „ 12 �O 13 03 S . V W 15 S d M H <br />:OMMOOITY/SITE TREATED FIELD LOCATION <br /> IT 1B E15 CSP`-=ZL--/L i 2 1xi <br /> L L DATERIME ACREAGE/UNRS APP. BLOCK IO EPA OR STATE REGISTRATION NUMBER TOTALPRODUCTUSEO DAYS PATE 0ILULpN PRODU AND MANU CTURER <br /> LOO, ER APPLICATION TREATED METHOD (IP FROM LABEL) (CIRCLE ONE UNIT REENTRY PERALRE <br /> COMPLETED (CHECK APPLICABLE) Of MEASURE) <br /> 21 22 23 24 <br /> ONE) 25 26 ZI 28 2B 30 31 <br /> Q <br /> OR <br /> l Iq I p <br /> S 1ST ONER❑ �O� �) R Z GA I 40 0Z l �� • tk <br /> GR ❑ <br /> AIR ❑ <br /> OTHER ❑ LB OZ Pi OT GA <br /> GR ❑ <br /> NR ❑ <br /> OTHER❑ LS OZ PT OT GA <br /> GR ❑ <br /> NR <br /> OTHER LB OZ PT OT GA <br /> GR ❑ <br /> MR <br /> OTHER LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR Cl <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 w LB OZ PT OT GA <br /> OR <br /> OTHER❑ ~- <br /> 1 LB OZ PT OT GA <br /> OTHER o AR 3 + X443 LB OZ PT OT GA <br /> OR <br /> MR <br /> OTHER B S N JOAQUIN wUN 1 E. LB OZ PT OT GA <br /> GR - <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AR ❑ <br /> OTHER❑ LB OZ PT OT OA <br /> r� <br /> R PO T PRFPAppED Ry Cc-( �11 [)ATF,3� REvlcv,�p ev _ <br /> ._� , �� I rc.—Y GLv I— 1 1 <br />