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STATE OF CALIFORNIA PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PR ENF-017C(REY.2//B) <br /> Instructions: Submit the white cop v to the Agricultural Commissioner within 10 days of month following application. <br /> MOAKI YEAR v� 2 <br /> ONURSERY 3 Page J_of <br /> OPERATOR ID/PERMIT NUMBER OPERATOR(GROWER) AODRES9 CITY ZIP CODE <br /> ..39 -03 3b� 1L 5 Scpnncul , BS 63G1 � e�v.D CA Rq') 411' <br /> SITE IDENTIFICATION NUMBER TOTAL PLANTED ACREAGEIUNITS COUNTY NUMBER SECTION TOWNSHIP RANGE BASEA MERIDIAN <br /> 10 12 L.> 13 b2— S1. 15 '/S H <br /> COMMODITY/SITE TREATED FIELD LOCATI N (,�J ((///^F J /1. ,O <br /> / aaRJ �P kA An^1µ LA„t rSe.�fi�yR s .>< i d F H q8e <br /> ITC 02 Z IR F h "A' A/, U X/ <br /> CHEMICAL MT IME ACREADENNRB APP. BIOCKID EPA OR STALE REGIBTRATIOM NUMBER TOTAL PRODUCT USED DAYS RATE DILUTION PRODUCT AND MANUFACTURER <br /> CODE NUMBER APPL ATION TREATED MET <br /> IIP (FROM"BEL) (PROLE ONE VNR MEMTRY PER ACRE <br /> COMPLETED (CHEM Alin-cAs E) OF MEASURE) <br /> 21 3 ,u DHE) 25 26 V 2B 1 2B 30 31 A <br /> ON <br /> `9•O3 <br /> OTHER C] Lel �I ✓ 6 LB OZ PT OT • d .2 So <br /> AIR 5 <br /> OR 7\ SOZ ZS h <br /> OTHER C] .t - /.1J _ p�j yg OZ PTO OT GA 0 �' ,�� P <br /> OR ❑ <br /> AIR ❑ <br /> OTHER❑ 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 OA <br /> GR 8AIR <br /> OTHER❑ LS OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AR <br /> OTHER LB OZ PT OT GA <br /> OR F] r <br /> AR <br /> OTHER LB OZ PT OT GA <br /> GR H vJ <br /> l <br /> Alp <br /> OTHER❑ LB OZ PT OT GA <br /> 6 JUN 1 <br /> AHA <br /> OTHER❑ LB OZ PT OT OA <br /> OR <br /> AR, 9 AGg. COMM. -STOC1(TON <br /> OTHER❑ LB OZ PT OT GA <br /> MR BAR <br /> OTHER❑ LS OZ PT OT GA <br /> AR <br /> LB OZ IT OT OA <br /> REPORT PRERED B DATE _ �j V 3 REVIEWED BY <br /> FOR AGENCY USE ONLY <br /> Form Distnbution: White c -- ounty Agricultural Commissioner; Pink copy--DPR; Canary--Applicator, Goldenrod—Applicator <br />