Laserfiche WebLink
STATE OFDALIFF PES PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> OE <br /> PA <br /> -01 C(RE PESTICIDE REGULATION <br /> PR-ENFA1]D(REV.2/99) <br /> Instructions: Submit the white cony to the Agricultural Commissioner within 10 days of month following application. <br /> 65, I YEA ® 2 <br /> O NURSERY D <br /> Page_of <br /> OPERATOR IDIPERMIT NUMBER OPERATOR(GROWER) 4ADDRESS / / GITY ZIP CODE <br /> .� d3�3 �Z CA17n � '`1G3 C�SITE IDENTIFICATION NUMBER TOTAL PLANTED ACREAGE/UNITS SECTION TOWNSHIP RANGE BASE B MERIDIAN <br /> 12 18 1-� 1e O L /' iA u W ,5 S H <br /> O MOOITV/SITE TREATED IE�LPOQCA NR f// f i1QM�� <br /> �Ill/r N'� w 1 <br /> CNEMICLLDATHfWE ALREAGFNMRS APP. BLOCK ID EPA OR STATE REGISTRATION NUMBER TOTAL PRODUCT USED MYB Mi DILUTION PRODUCT A N D MANUFACTURER <br /> OOOENUMBER APPLICATION TREATED METHOD PF (FROM LABEL) (CIRCLE ONE UNIT REENTRY PERACRE <br /> COMPLETED (CHECK APPUQUIE) OF MEASURE) <br /> 21 22 23 2L DHE) 25 a 27 28 2D 30 31 <br /> Z -I 3 � <br /> 0 <br /> OTHER❑ 1-i I O — 4 OZ PT OT GA ( Z,SJ L iUo✓•! O1/.G/Z �.Dc-Y <br /> O ER°❑ 600 <br /> i- OZ PT OT GA <br /> OR / I <br /> —Z •d3 7AR p 1-`I - O9 LB OZ Pi OT M z IJ O /C Ly <br /> w ❑ <br /> MR <br /> OTHER LB OZ PT OT GA <br /> OR ❑ <br /> MR <br /> OTHER LB OZ PT OT GA <br /> GR ❑ <br /> MR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> ON ❑ <br /> AN ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> DR ❑ <br /> AIR n <br /> OTHER LB OZ PT OT GA <br /> OR <br /> AN <br /> oTHER LB OZ PT OT GA <br /> OR ❑❑ (p�r��! J ) <br /> OTHER" LB OZ PT OT GA MAR <br /> ` <br /> OR 8AN <br /> OTHER❑ LB OZ PT OT GA I <br /> AR <br /> B <br /> OTHER❑ LB OZ PT OT GA <br /> AN ❑ <br /> AN <br /> ❑ <br /> ER❑ LB OZ PT OT GA <br /> AIR <br /> 0 R❑ LB OZ PT or GA <br /> REPORT PRE _ DATE 3 �/I- Q� [REEW:DBV <br /> Form Distribution; White copy--County Agricultural Commissioner, Pink copy--DPR; Canary--Applicator, Golden md--APPllcator 1011 AGENCY USE ONLY <br />