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i hursday, July 3, 2003 PMIS-018813rev. 02/28/02 <br /> Pesticide Use Report <br /> Nursery County Section Township Range Base,1 Meridian Method Applicator Name 8 Address <br /> 39 27 1S 9E M Hawke Ag Aviation <br /> 16 P.O. Box 1133 <br /> TPenniteelCustomer Operator ID/Permit# Site ID# Oakdale, CA 95361 <br /> DOORNENBAL JR., HER 39-03-3903073 DOORNENBAL 1-1C inv. #: 1030 <br /> T Tota/Acres Planted Location Block ID(f applicable) <br /> 71.00 S&S LONE TREE,E/CAMBELL RD. <br /> Date B Time Applied Area Treated Commodity/Site Treated <br /> 6/27/03 71.00 ac- Rice <br /> Product 6 <br /> Chemical# Manufacturer EPA Re .# Total A lied Rate rAcre Dilution <br /> SUPER WHAM! CA 71085-00005-ZA-00000 213.00 QT 3.0000T 15 <br /> Shark Herbicide 00279-03194-AA-00000 142.00 OZ 2.000OZ 15 <br /> Hours Reentry Days Preharvest Application Supervised by: Steve Sperry <br /> 48 60 Ground Rig <br /> Submitted by Date: Time: <br /> ROSALYN SPERRY 07/03/2003 1:14 pm <br /> Received by Box No Date Time <br /> submit to AGRICULTURAL COMMISSIONER within 7 days of application <br /> ElVE <br /> 3� }} <br /> iY8 a' <br /> C- i 6Ajfl`/l.. SIS,1'.S <br />