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STATE OF CALIFA :A ( DEPARTMENT OF PESTICID( 3ULATION <br /> 1 '.')NTHLY SUMMARY PESTICIDE USE REPORT ENFORCEMr-NT BRANCH <br /> N <br /> FN =NF-060 (REV.08108)Page 1 of S m <br /> 1J- rRUCTIONS FOR COMPLETING THIS FORM ARE INDICATED BELOW AND ON THE REVERSE SIDE `o <br /> C— TOR(FIRM NAM-9 ADDRESS CITY ZIP DE PRONE NUMBER m <br /> DO <br /> Cr_SAT IDIPERAIIT NUI.IBER LICENSE NUMBER COUNTY NHERE APPLIED COU TY NUMBER 11IONMIYEAROF USE TOTAL NUMBS OF APPLICATIONS r <br /> �^ —/� � m <br /> - 2 s A <br /> Lo <br /> 1 cmpfe(e Columns A,S, C,and D for All Users <br /> 2`�arrmp)0 Co!umrs E hy-rrsirg onyx of J gfrlloyving codes <br /> Code 10 - Structural Pest Control.....................................includes any pest control work performed Within or on buildings and otter structures. <br /> node 30 - Landscape Maintenance Pest Control.............includes any pesl control work performed on landscape plantings around residences or other buildings,golf courses,parks,cemeteries,etc_ m <br /> erode 40 - Right-of-Way Pest Cartrol......................._......includes any past control work performed along roadsides,power lines,median strips,ditch banks,and similar sites, w <br /> Code 50 - Public Health Pest Control inctudes any pest control work performed by or under contract with State or local public health or vector control agencies. co <br /> ode 80 - Vertebrate Pest Control.,,.................................includes any vertebrate pest control work performed by public agencies or work under the supervision of the State or county agricultural commissioner. <br /> ^,ode 91 - Commodity Fumigation(Nonfood/Nonfeed).....includes fumigation of nonfood/nonfeed commodities such as pallels,dunnage,furniturs, burlap bags,etc. w <br /> wade 100 - Regulatory Pest Control-..............................includes any pest control work performed by public employees or contractors in the control of regulated pests. 00 <br /> complete Columns F and G,if use does no /If one of the above codes <br /> z A B C D E F G <br /> 0 <br /> MANUFACTURER AND EPNOALIFORNIA REGISTRATION NUMBER FROM LABEL TOTAL PRODUCT USED NUMBER OF CODE COL0.10DiTY OR SITE ACRESIUNITS <br /> .n NAPAE OF PRODUCT APPLIED INCLUDE ALOHA CODE (Girds One Unit of Measure) APPLICATIONS TREATED TW--TED <br /> S - <br /> 5-L5) i LB OZ PT OT GA <br /> LB OZ !PT QT GA <br /> f <br /> d <br /> i c l l LB OZ PT QT GA r <br /> LB OZ PT QT GA <br /> 1-9 OZ PT QT GA S-ti RSI r?4 72.4 t7 7 <br /> V L!�.J <br /> LB OZ PT QT GAL la <br /> -P 09 201 <br /> ,V <br /> LB OZ PT QT GA SAN . QUIN COUNTY <br /> 7. . COMM. VDI <br /> LS OZ PT QT GA <br /> D <br /> G) <br /> LB OZ PT OT GA m <br /> rD <br /> W <br /> LB OZ PT QT GA <br /> d <br /> REPORT PREPARED BY DATE t/z,' —� <br />