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STATE OF CALI7� Ilk ( /�DEPARTMENT OF PESTICJD( -,ULATIOPJ <br /> p,ONI HL SUMMARY PESTICIDE USE REPORT (( ENFORCE ,_.iTSRANCk m <br /> -ENF-060(REV_ MOB)Page 1 of 6 m <br /> i ;TRUCTfONS FOR COMPLETING THIS FORM ARE INDICATED BELOW AND ON THE REVERSE SIDE LID <br /> � f.RA R(FIRM rtAPAE) ADDRESS X07 CITY , ZIP CODE PHONE <br /> NUMBER m <br /> #ale L 7 [f i`/ " ( VC.! n C � ;r` CJl <br /> �' <br /> ,:RA OR JDIPER�4 T NUMBER LICE NUMBER COUNTY WHERE APPLIED COU NUMBER MorR USE TOTAL NUb1BER OF APPLICATIONS <br /> Y�� /J A <br /> o <br /> LD <br /> 1- 'omplete Columns A.B,C,and D for Alf Users <br /> :"-:'omplete-Column Ebb usrn on Qit�t�tgtlg aadec_ <br /> ode 10 - Structural Peat Control.....................................includes any pest control work performed YAWn or on buildings and other structures. N <br /> —,ode 30 Landscape Maintenance Pest Control,............includes any pest control work performed an landscape plantings around residences or other buildings,gaff courses,parks,cemeteries,eta CD <br /> --.ode 40 Right-0f-'Nay Pest Control.-,............................includes any past control work performed along roadsides,power lines,median strips,ditch banks,and similar sites. W <br /> 'ode 50 Public Health Pest Canlrol..........._............_.....includes any pest coniroi work performed by or under contract with Slale or local public health or vector control agencies. <br /> ---:ode SO Vertebrate Pest Control.....................,,,............includes any verteb-rate pest control work performed by public agencies or want under the supervislon of the State or county agricultural oommissianer. -4 <br /> f:ode 91 - Commodity Fumigation(NonfoodlNonfeed).....includes fumigation of nonfood/rtonfeed commodities such as pallets,dunnage,furniture,burlap bags,etc. 00 <br /> w%o 100 Regulatory Pest Control.................................indudes any pest control work performed by public arnployees or contractors in the control of regulated pests. 0D <br /> 3 a:omplete Columns F and G,if use,{oes not Fd one of the above codes <br /> z A B C D E F G <br /> MANUFACTURER AND EPNCALIFORNIA REGISTRATION NUMBER FROM LABEL TOTAL PRODUCT USED NULIBER OF COMMODITY OR SITE ACRESIUNITS <br /> `Q NAME OF PRODUCT APPLIED INCLUDE ALPHA CODE (Circle One Und ar Measure) APPLICATIONS CODE TREATED TFEATED <br /> IXD / <br /> Ar—tctm <br /> qjV 5-a LB OZ PT QT GA L>P Q� <br /> rl <br /> Ain . ae- 9F — 12= LB OZ PT QT GA / �{ F_ <br /> d <br /> H <br /> D <br /> LS OZ PT OT GA fit <br /> LB OZ PT QT GA <br /> —�F�Elv\j <br /> LB OZ PT OT GA <br /> ub SEP G 9 2013 U' <br /> LS OZ PT OT GA <br /> SAI j JOAUdIN <br /> AVIRIC. COMM. LOOI <br /> LB OZ PT OT GA <br /> LB OZ PT OT GA <br /> �0 <br /> D <br /> CD <br /> m <br /> LB OZ PT OT GA <br /> m <br /> IJ <br /> L3 OZ PT OT GA <br /> og CD <br /> REPORT PREPARED BY DATE45 <br /> r-/ �, <br />