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Thursday, March 18, 2004 PMIS-0188B <br /> ` rev. 02/28/02 <br /> Pesticide Use Report <br /> Nursery I County .Section Township Range Base & Meridian Method Applicator Name &Address <br /> ❑ 39 28 01S 09E M Air Hawke Ag Aviation <br /> t` P.O. Box 1133 <br /> PermiteelCustomer Operator ID/Permit# Site/D# Oakdale, CA 95361 <br /> BRUMLEY, DON, 39-043903043 BRUMLEY 4-1C Inv. #: 1324 <br /> Total Acres Planted Location Block/D(if applicable) <br /> 20.00 WE COR ESC BELLOTA& LONETREE <br /> Date& Time Applied Area Treated Commodity/Site Treated <br /> " 03/16/2004 7:45 10.00 ac. Rice <br /> I <br /> Product & <br /> Chemical# Manufacturer EPA R .# Total ADPlied Rate er Acre Dilution <br /> ASC PLUS 8-0-0 EXEMPT 2.00 PT 0.200PT 5 <br /> Rna Corporation <br /> GLY -4 04767-00031-AA-72693 15.00 PT 1.500PT 5 <br /> TRI-AD 73 1050990-5001-AA-00000 8.00 OZ 0.8000Z 5 <br /> .� 5 GALLON AIR CHARGE 10.00 AC 1.000AC 5 <br /> I I I I Ll <br /> Hours Reentry Days Preharvest Application Supervised by: Shane Sperry <br /> +- 24 0 Yellow W/green <br /> Submitted by Date: Time: <br /> ROSALYN SPERRY 03118/2004 11:54 am <br /> Received by Box No Date Time <br /> submit to AGRICULTURAL COMMISSIONER within 7 days of application <br /> r <br /> �L <br /> q 1 n <br />