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STATE OF CALIFORNIA PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PR.ENFO17C(REV.WESQ) <br /> instructions: Submit the white 000v to the Agricultural Commissioner within 10 days of month following application. <br /> ,2-©oS <br /> ONTH 1 YEAR 2 <br /> NURSERY 3 Page (of <br /> OPEUTOR ID/PERMIT NUMBER OPERATOR(GROWER) ADDRESS CITY ZIP CODE <br /> A310(� -3�ino 9Zz 65CANN4�/IFvQ 6 C� e�LoKt� 9 T o�k1��J e S Ll ) <br /> I61TE la NIPIOAT{ON,ULtBER TOTAL PLANTED ACREAGEIUNITS COUNTY NUMBER SECTION TOWNSHIP MNGIE�L BA6E\MERIDIAN <br /> B 1 A EL{f �� 10 /3 U 11 �J ) 12 O 13 02- S 14 I W 16 S H <br /> COMMODITY/SITE TREATED FIELD LOCATIO s yy� p,„„,,P <br /> R�r I� 19 i / c%� s d�h,� // Avy f <br /> 17� ZO f <br /> CHEMICAL OATERIME AC am." APP. BWTAL E CNIO EPA OR STATE REOISTRATION NUMBER TOMOCILONE PRODUCT USED MTC OKI WIN PRODUCT AND MANUFACTURER <br /> CODE NUMBER APPLICATION TREATED METHOD OF (FROM IASELI FOF MEASUREEI <br /> ME <br /> COMPLETED (CHECK APRICAS E11 Of MEW" PER ACRE <br /> 21 ?J 'E / <br /> 24 ONE) 26 26 27 28 3) 31 <br /> OR <br /> 571,) dS oTMER❑ A�- OZ PT OT GA <br /> J- / �- Y <br /> MA 1-1 p ] C7 1 <br /> S (7 O) MR <br /> o OTHER O J-1 LO G`. L� —J� O�T GT GA I /LlJ Ll H �� <br /> eR ❑ <br /> MR <br /> OT ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR <br /> OTHER LB OZ PT OT OA <br /> OR Q <br /> OTHER 8 LB OZ PT GT GA <br /> MR <br /> i-- <br /> 8 G NR <br /> W C) Y 2 OTHER❑ LB OZ PT OT GA <br /> _S Q Uti Da ❑ <br /> AIR ❑ <br /> W Y OTHER❑ LB OZ PT OF GA <br /> G OR ❑ <br /> W Z C'.�(~lMR <br /> J OTHER B LB OZ PT OT OA <br /> OR <br /> AIR <br /> Q O OTHER L8 OZ PT OT GA <br /> OR ❑ <br /> YR ❑ <br /> OTHER❑ LB CZ PT OT GA <br /> OR <br /> AIR H <br /> OTHER❑ LB CZ PT OT GA <br /> MR BYR <br /> OTHER❑ LB OZ PT OF OA <br /> MR 8AIR <br /> OTHER❑ LB OZ PT OT OR <br /> MR ❑ <br /> oTH LB OZ PT OT GA <br /> REPORT PREPAR�D BY DATE �- /� S REVIEWED BY <br /> Form Distribution: White copy--County Agricultural Commissioner; Pink copy-.DPR; Canary--Applicator, Goldanmd.-Applicator FOR AGENCY LNE aNLr <br />