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STATE OF CAL IFORI ' <br /> DEPARTMENT OF P AR REGULATION � � �. 1 <br /> ?r—VF-077C(REV.o>,rua)�e7 of PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REP Y�>�}Sit, IS ��� 9 3 4 5 $ m <br /> CD <br /> S, nit to the Agriculturat Commissioner within 10 days of the month following application. 41 2014 <br /> � f 'D <br /> 3UL 2A 4 1 <br /> T1 E3 h f Yeer <br /> gAN JOAQUIN COUNTY <br /> ❑ "{urrery a A%s�IC. C�Ji11lt�. ��� ,, <br /> m <br /> O�` iter IDJPermit sNo. Operator(Grower) Addrss City Zip Code LD <br /> [7 <br /> Site Identification No. Total Planted Acras/Ll County Number Section To%vnship Range Base&Merfdlan N <br /> 0ti <br /> o-34oq-r0�L, 1 <br /> io � rz � 13 f [)(N ❑ S 14 JE ElW 1, ] S tut ElH <br /> Commod'rtylSite Treated Field Location w <br /> 17 0a <br /> ("Mme Acreage! Application Mefhod Block ID PPA or State Registration Number 00 <br /> f�llcafion Units (Check One) 21 (If (From Label) Total Product Used Reentry Per Rate <br /> Dilution .Product and Manufacturer <br /> �Cz^7pteted <br /> 19 Treated 0 Applicable Z3 za 125 26 7 <br /> ^� Ground !l f , _ <br /> Jlco> 1 y� Air r�� ❑ ❑ ❑ ❑ r� fir 1463 "J n <br /> 7 / _ I✓1�/t <br /> '/ Fume �� <br /> Other LB OZ PF QT GA <br /> Ground �Q Y <br /> I]Air rTNST�a_ -f �"11C�c+C�/D���q <br /> ❑Fume b ❑ +1 Q ❑ �yg i��1'r <br /> ❑other LB OZ PT QT GA C d <br /> ❑Ground ~ <br /> ]I ❑Air D <br /> I ❑Fume ❑ ❑ ❑ ❑ ❑ <br /> Lj Other LB OZ PT QT GA <br /> Ground <br /> ❑Air <br /> ❑Fume ❑ ❑ ❑ ❑ ❑ <br /> r-, TL - - <br /> ❑Ground <br /> Air <br /> Fume ❑ ❑ ❑ ❑ ❑ <br /> Other LB OZ PT QT GA <br /> Ground <br /> ❑Air <br /> ❑Fume ❑ ❑ ❑ ❑ ❑ <br /> ❑Other LB OZ PT QT GA p <br /> D <br /> >7 <br /> Report Prepared By Date -7,_ g y_N Revieveed By m <br /> m <br /> For A enc/Use Only <br /> N <br /> m <br /> 1)CAC <br />