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STATE OFCAL(FORNIA PESTIGIOt u5t KtVUKI "" ` . <br /> PR ENF-025(REV.11107) <br /> '7491Page1afl <br /> NURSERY APPLICATOR NAME AND ADDRESS <br /> ,COUNTY NO. SECTION TOWNSHIP RANGE BASER APP.METHOD PERMITTEElPROPFRTY OPERATOR <br /> MERIDIAN GROUND <br /> ��QQ//�� f� /[� ���] <br /> ON It HH JFUME iJ Q0 J !�7'G�rf�-L./ w <br /> F�, 2�� 52 ❑S4 ❑ 5 ©OTHER 67 /V / ,✓ <br /> ISITE1111-MWICAT4ON NUMBER TOTAL PLANTED /}_ .✓ <br /> OPERATOR IDIPERMIT NUMBER ACRESIUNITS <br /> 9 is /5� <br /> ID <br /> BLOCK17,57Z.3617,57Z.36LOCATSON /, `, (IF APPLICABLE) <br /> 12 13 <br /> S1 <br /> DATEMM£APPLIED �7 ACRC61 NI (,rREEATED COMMODITYISITE TREATED <br /> $PAICALIF.REGISTRATION NUMBER FROM LABEL TOTAL PRODUCT USED R21 ATE DZLUYION <br /> CHEM NO. MANUFACTURERINAIv1E OF PRODUCTS APPLIED T9 20 <br /> 17 18 <br /> FL <br /> n � LB. OZ. PT. OT. GA. <br /> IN �L.(J ❑ ❑ ❑ ❑ ❑ <br /> FA LB. OZ. PT. OT, GA. <br /> ❑ ❑ ❑ ❑ ❑ <br /> Et - LB. OZ. PT. OT. GA. <br /> i ❑ ❑ ❑ ❑ ❑ <br /> LB. OZ. PT. OT. GA. <br /> ry 1 IA� LB. OZ. P7_ OT. GA. <br />' YF ��/V ❑ ❑ ❑ ❑ ❑ <br /> DAYS REENTRY DAYS PREHARVESY APPLIEDISUPER�Vi/SFD BY <br /> J 25 3o 26 <br />+ 24 <br /> *Submit WHITE COPY to the COUNTY AGRICULTURAL COMMISSIONER within 7 days of application. <br /> Distribution:White copy-Agricultural Commissioner;Canary copy-Applicator;Goldenrod copy-Grower <br /> 1 <br /> i <br /> r <br /> r <br /> I <br /> k �k <br />