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STATE Of CALIFORNIA PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> ❑Ei`ARTMENT OF PESTICIDE REGULATION <br /> PR-ENF-017C(REV.216e) <br /> Instructions: Submit the white coov to the Agricultural Commissioner within 10 days of month following application. <br /> 2 <br /> MONTH I YEARR 2 <br /> O NURSERY <br /> Page <br /> OPERATOR IWPERMIT NUMBER OPERAATTOR(GROWER) ADDRESS lnI CITY ZIP COOS <br /> ,3 •03-3500 �dQ 6 �AA/1gJlno 6 S� b3 � � Y S�oCkY�` CA BC? <br /> SITE IDEN IFICAT N NUMSE TOTAL PLANTED ACREAGE/UNITS COUNTY NUMBER SECTION TOWNSHIP RANGE BASE d MERIpIAN <br /> I-12-j d a� y a -S 7 O <br /> S — 10 11 12 J 12 O 5 1, 16 S M H <br /> c_ Apn�pyTv/s�Ir rREATFp L- FIELq LOCA D w y Nc u; oL�zn r�*� 'IC <br /> 17 1S of 17F N-w�'9ti <br /> CNEMIDAL MTEFTIME AOREAGENNnS APP. BLOCK 10 EPA OR STATE REGISTRATION NUMBER TOTAL PRODUCT USED DAY. RATE DILUTION PRODUCT AND MAN U FACTURER <br /> CODE NUMBER APPU"Tl°N TREATED METHOD IIF (FROM LABEL) IQRCLE ONE UNIT REENTRY PERACRE <br /> COMPLETED (CHECK APPLICABLE) OF MEASURE) <br /> 21 22 yj 2,ONE) 2S 26 2T 2B 299 30 211 }., I <br /> 7 31 p ER❑ �' D I 1 Oh^ B 'Z 'T or 1 v' fQ L Yb N /#—= (O <br /> Cl <br /> I `/ (� OTHER 11 ?.� Q� 'eq LB o'zT/Pi or G o7 .SJ l <br /> / <br /> IAI <br /> OTHER❑ I-N a OZ PT OT GA Jn <br /> 1 OTHER �MR `Y �� 2- 1 02 PT 9OT GA OT p� YJ JJ� L{rTI O A l <br /> OR <br /> OR <br /> MR <br /> DINER LB OZ PT OT GA <br /> MR SNR <br /> OTHER❑ LB OZ PT OT GA <br /> OR Cl <br /> NR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> NR <br /> OTHER LB OZ PT-OT GA <br /> GR ❑ <br /> OTHER LS OZ PT OT GA <br /> NA <br /> OTHER❑ LB OZ PT OT GA <br /> OR - <br /> MR <br /> �' 2 2003 <br /> OTHER LB OZ PT OT GA J: <br /> Gq BNR <br /> OTHER❑ LS OZ PT OT GA ' T 1 <br /> 1, BE • v <br /> AIR <br /> GR 8 <br /> OTHER❑ LB OZ PT DT GA <br /> MR BNR <br /> ° R LB OZ Pi OT GA <br /> Q _ <br /> REPORT PREPA ED BY DATE r'— REVIEWED BY <br /> Form Distrougon: White mov--County Aodcultural Commissioner: Pink copy--DPR: Canary--Applicator, Goldenrod--Applicalor FOR AGENCY USE ONLY <br />