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CALIFORNIA9TATEOF <br /> DEPARTMENT OFFPESTICIDE REGULATION PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> 3R-ENF-017C(REV.VN) <br /> instructions: Submit the white cop v to the Agricultural Commissioner within 10 days of month following application. <br /> a3 <br /> MONTH i YEAR 2 <br /> NURSERY 3 <br /> Page_GI <br /> DPERATOR ID/PERMIT NNUUUMBBOER OPERATOR(GROWER) ��"� / ADDRESS '` CITY /->n ZIP CODE <br /> 1 C/, <br /> 3"/N <br /> 45v <br /> SITE IDENTIFICATION NUMBER TOTAL PaLLAAANrT�/ ACREAGE/UNITS COUNTY NUMBER SECTION TOWNSHIP <br /> � RANGEyy�� BASE!MERIDIAN <br /> 9 /' (� b / ./ 11 12 13 D� S A 15 5 H <br /> COMMODITY/SITE TREATED FI ELD LOCATION ✓/ � <br /> C DATE IME ACREAGEAIN17S APP. BLOCKIO EPA OR STATE REGISTRATION NUMBER TOTALPROOUCTUSEO DAY$ RATE OILU IOM PRO CTAND MA VFACTURER <br /> COL BER APPLICATION TREATED METHOO BF (FROM LABEL) (CIRCLE ONE UNIT REENTRY PER ACRE <br /> COMPLETED (CHECK APPLICABLE) OFMEASURE) <br /> 21 2222L. 23 24 ONE) 25 26 27 28 2B 30 31 <br /> � � - � OTHER EJOZI <br /> OR ❑ <br /> UR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER ❑ LB OZ PT OT GA <br /> OR ❑i <br /> AIR <br /> OTHER LB OZ PT OT GA <br /> GR <br /> AIR <br /> OTHER LB OZ PT OT GA <br /> OR gAIR <br /> OTHER ❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> NR <br /> OTHER LB OZ PT OT GA <br /> GR ❑ <br /> AIR <br /> OTHER LB OZ PT OT GA <br /> MR 0 <br /> OTHER❑ LB OZ PT OT GA <br /> uA 8 S41AR s 0 2003 <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ Ji 1V Jl-//1`/ViIV li'.... vl <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ - A . <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR <br /> OTIfR LB OZ PT DT GA <br /> PFPn TPPPPA ED Pv �,I / peTF O3 I�D D3 gpvlc p pv <br /> ❑` yp• �E--A-/' E— E--I� E-- _ .IrLv <br />- A..�... 1,.:._ n,,,•. ____.�. .A, ' 1....I'�_,... � r—i }ENCY <br />