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STATE DEPARTMENT <br /> PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PR-ENF-017C(REV.2 W) <br /> Instructions: Submit the white cony to the Agricultural Commissioner within 10 days of month following application. <br /> 83 <br /> MONTH 1 YEAR 2 <br /> NURSERY 3 <br /> Page_of_ <br /> OPERATOR ID/PERMIT NUMBER OPERATOR)GROWER) ADDRESS CITY ZIP CODE <br /> 3�-03-moo Ian 5 r - <br /> 0'.1 6 331 &afE,e pa ] lz LB 9537 <br /> SITE IDENTIFICATION NUMBER TOTAL PLAN ED ACREAGE/UNITS COUNTY NUMBER SECTION TOWNSHIP RANGE <br /> '�/ BASE A MERIDIAN <br /> 3 l �� ( -� �� 10 11 12 R 13 N 14 vb E 1S S H <br />:OMMODITY/SITE TREATED FIELD LOCATION <br /> 17 "2223 <br /> 19 J (7L.GJL <br /> C LACREAGENNRS APP, BLOCK ID EPA OR STATE REGISTRATION NUMBER TCTALPRODUCTVSEO MY8 RATE OILY K)N PRODUCTANDMANUFACTURER <br /> COOT BETREATED METHOD (IF IF <br /> ROM-ABED (OIACLE ONE UNIT REENTRY PERACRE <br /> (CHECK APPLICABLE] OF MEASURE) <br /> 21 24 ONE) 25 19 27 28 29 30 31�/ <br /> 1^0 ( 4 OTHER L] OZ PT 524 - 5 B 0 G ' I <br /> OR EDAIR ❑ <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 /> OTHEA LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER ❑ US 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 /> GR ❑ <br /> AIA <br /> OTHER• LB OZ PT OT GA <br /> OR <br /> AIR <br /> OTHER❑ LB OZ PT OT GA <br /> GRAR <br /> ❑ <br /> OTHER <br /> OT ❑ 1. 0 2003❑ LB 02 PT OT GA 1 <br /> GR ❑ <br /> AIA ❑ <br /> OTHER❑ LB OZ PT OT GA . .:V J <br /> GA ❑ . <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT OA <br /> OR ❑ <br /> uR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> PC ENI T PPGDA ED Qv (TATs IQ I 0 RF%AvI- p Pv <br />