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STATE OF CALIFORNIA PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PR-ENF-017C(REV.WAND) <br /> I ctions: Submit the white cop to the Agricultural Commissioner within 10 days of month following application. <br /> MOli.rutI EAR V 2 <br /> ONURSERY 3 <br /> Page L of <br /> OPERATOR IDIPERMIT NUMBER OPEERCRATOtR(GROWER) ADDRESS // 1 (n7 CITY ZIP CCoox <br /> 4 `� 1._O _ SJLPV�rI B G Ch U � 2 (� �. O a -/ zI�- <br /> SITE(IDENTIFICATION NUMBEq TOTAL PLAN�TTEED2ACREAGE/UNITS COUNTY2NUMBER SEOT11O]N(i TOWNSHIP RANGE BABE 6 MERIDIAN <br /> bey[ 1 11 el/ 3 J 10 V..J 11 J 12 [ V 13 0.2 16 W 15 5 H <br /> COMMODITYISITE TR TED FIELD LOCATION <br /> 1] Foe <br /> 8 <br /> CMFANGL OATEMME ACREAGENNEIS ARE BLOCK IOEPA OR STATE REGISTRATION NUMBER TOTAL%OWCT USED MYE MTE DILUTQN PRODUCT AND MANUFACTURER <br /> DL NUMBER APPLILATION TREATED METHOD IIF (FROM LABE4 (CIRCLE ONE UNT REEMRY PERACRE <br /> LO <br /> COMPLETED (CHECK APPLICABLE( PMEASURE) <br /> 21 22 23 24 ONE) 2S 26 p 2/ 28 2B 30 31 <br /> 17U.3 TME„ -1 f-I 81�2� OZ PT OT GA loze, <br /> DR ❑ <br /> MR ❑ <br /> oTNER❑ LB OZ PT DT DA <br /> MR <br /> GR ❑ <br /> OTHOT ❑ <br /> ER❑ LB 02 PT OT OA <br /> OR ❑ <br /> MR <br /> OT, LB OZ PT OT GA <br /> OR ❑ <br /> NR <br /> OTHER LB OZ PT OT GA <br /> OR 8MR <br /> OTHER Cl LS OZ PT OT GA <br /> OR ❑ <br /> MR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> ON <br /> MR <br /> OTHER LB OZ PT OT GA <br /> ORMR ir <br /> ❑ <br /> OTHER❑ LB OZ PT OT GA Fn 11mi 11 <br /> r� <br /> OTHER C3LB OZ PT OT OA IN .� <br /> OR g DEC 3 0 Z003 <br /> OTHER9❑ LB OZ PT OT OR �i t}�,Y+ <br /> MR <br /> LB oz PT OT GA AGR. �F�3pa Gif. -00T "••ON <br /> GN <br /> MR <br /> OTHER❑ LB OZ PT OT GA <br /> GR gMR <br /> OTHER❑ LB 02 IT OT OA <br /> REPORT PREPARED SY DATE�2 ­2 REVIEWED(, —3 REVIEWED BY <br /> Foam Distribubon: White copy--County Agricultural Commissioner; Pink copy-.DPR; Canary--Applicator, Goldenrod--Applicator FOR AGENCY USE ONLY <br />