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APPLICATION - RESTRICTED MATERIALS PERMIT SSU\PPLEM//��ENT PERMIT NO. <br /> L���O <br /> L �y�� � PAOE NO. - <br /> MAP ACRES/ DILUTION/ DATE/ <br /> SEC TWN RNG ID COM ODI G. <br /> UNITS PESTICIDES PESTS F* M" RATE VOLUME APPL TIMING <br /> LOCATION <br /> a. <br /> 9. <br /> 10. <br /> 11. r <br /> V <br /> 12. O <br /> 13. do <br /> 14, <br /> 15. <br /> 16. <br /> 17. <br /> 18. <br /> 19. <br /> 20. <br /> 21. <br /> 22. <br /> 23. <br /> 24. <br /> 25. <br /> 26. <br /> 27, <br /> 28, <br /> 29, <br /> 30. <br /> 31. <br /> *Formulation: L--Liquid B--Bait D--Dust F--Fumigant G--Granules <br /> APPLICANT SIGNATURE DATE ~d <br /> WP--Wettable Powder O--Other zz _ . <br /> "Method: A--Air F--Fumigation Gr--Ground O--Other ISSUED BY DATE J <br /> STATE OF CA 4FORNIA <br /> DEPARTMENT OF PESTICIDE R ULATION <br /> DISTRIBUTION:WHITE&YELLOW-COUNTY AGRICULTURAL COMMISSIONER;PINK&GOLD-PERMITTEE OSP 08 109802 PR-ENF-125A{REV.10107 Page 1 of 1 <br />