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i t 1 1 <br /> PTE ART ENT OF <br /> PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PR-ENFAITC(REV.2AB) <br /> Ins uctions: Submit the white cony to the Agricultural Commissioner within 10 days of month following application. <br /> 7 <br /> MONTH 1 YEAR 2 <br /> O NURSERY 3 <br /> Pape_of <br /> OPERATOR ID/PERMIT NUMBERT OPERATOR(GROWER) ADDRESS G � ` �`/� TI;Y `` O_ ^ ZIP CODE <br /> 9-J 1 -03'703 /-� r .An 1 5 'Lfl c I) JL l./', <br /> SITE IDENTIFICATION <br /> /NUMBER TOTAL PLANTED ACREAGE/ NITS COUNTY NUMBER SECTION ) TOWNSHIP RANGE (E�BASE B MERIDIAN <br /> 10 VC/ 11 12 Z�� 13 TOWNS. <br /> � 9 19 `�V 15 9 H <br /> COMMODITY/SITE TREATED FIELD O ION <br /> C ,oma, ,�,�/ r/ys �pegFa� Yap"'` K� ,/e ,l,� <br /> tT VE1 / /0 ez, t/L_ IB s jaeih , l/h 41i/ //W,4 hsk.� <br /> CHEMICAL ETIME ACRPAOWNRs AFP, BLOCK IO EPA OR STATE REGIETMTIOM NUMBER TOTALMDO USEO DAYS RATE DILUTION PROpUCI AMO MAMUFACTU E. <br /> COOENUMBER APPLICATION TREATED METNOU OF (FROM LABEU ONMEONEVNIT REENTRY PENACRE <br /> OOMFLETW (CNECI( APPUOUIUE) OF MEASURE) <br /> 21 22 23 ,1 29ONE) 25 26 31 <br /> 2B >D <br /> 03 OTHER ?-V 1 �W`I " 3 l LB DZPT�OT Qr 12 J .S--Put., 11 <br /> n ( KS <br /> C,1C 'd5 MEN 00 N A LB OZ PT OT OZ ZJ SAjt✓ IDIF QW <br /> GA ❑ <br /> NR ❑ <br /> OTHER[]I LB OZ PT OT GA <br /> OR ❑ <br /> NR <br /> OTHER LB OZ PT OT GA <br /> OR <br /> NR <br /> M.- LS OZ PT OT GA <br /> OR ANR <br /> OiNER❑ LB OZ PT OT GA <br /> OR ❑ <br /> NR <br /> OTHER LB OZ PT OT GA <br /> OR ❑ <br /> NR ❑ <br /> O111ER❑ LB OZ PT OT GA <br /> GR <br /> NR <br /> OTRER LB OZ PT OT OR <br /> " <br /> " s <br /> OT <br /> HER LB OZ PT OT GA <br /> OR <br /> NR <br /> OTHER❑ LB OZ PT OT GA <br /> OR <br /> NR <br /> OTHER❑ LB OZ PT OT GAOR <br /> M C 7' <br /> B LB OZ PT OT GA Cd�YS-"-' �`��o C�{Cly <br /> MA ❑ <br /> NR <br /> MER LB OZ PT OT GA <br /> REPORT PREPARED BY DATE �- 0 �� REVIEWED BY <br /> Forth Distribution; White copy--County Agricultural Commissioner, Pink copy--DPR; Canary--Applicator, Goldenrod--Applicator FOR AGENCY USE ONLY <br />