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STATE OF CALIFORNIA PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PR-ENF-0I TC(REV.2109) <br /> I ructions: Submit the white coo v to the Agricultural Commissioner within 10 days of month following application. <br /> o?D6 <br /> NTH EAR 2 <br /> NURSERY 3 Page—of <br /> CPEfUTOR ID/PERMIT NUMBER OPERATOR(GROWER) ADDRESSS/ L ��// / CITY -{' ZIP CODE <br /> JCogli ✓/YJ3 6 YCG C 'l!- JCL/ ?J ] SJ L EGij'Z ! � — <br /> SITE IDENTIFICATION NUMBER TOTAL PLANTE/D;ACREAGE/UNITS COUNTY NUMBER SECTION TOWNSHIP RANGE BASE A MERIDIAN <br /> 1- 1 <br /> -� G L 11 3Cf 12 / �� 13 8 lA / W 15 S H <br /> 0 <br /> /YO <br /> OMMODI MSI TE TRE,TED <br /> FIELD O /IOM wi/yq� yA,ry,n rn L.on4 CKIt !/ /Y",.if Y- <br /> rY.n�u a f i < �✓ d'!p 6/fan, t d G oJeol,, r�E <br /> 7 <br /> CHEMICAL HIM ADRGOENMR! APP. BLOCK ID EPA OR YTRF REOMTMTIOM NUMBER TOTALIK ONE PRODUCTUSED <br /> REENTRY PEAACX DILUTION PRODUGr AND VFACTURFR <br /> CODE NUMBER A PLICATION TREATED METHOD IIP (PR.IAEELI ( <br /> COMPLETED (CHECK APPLICABLE) OF MEASURE) <br /> OMEI Z] 2B 20 70 71 <br /> z1 n 2725 <br /> OR <br /> I O- OTH <br /> 1212 - 3 j� eq JP�T OT GANR T J A <br /> OR ❑ <br /> MR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> MR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> an <br /> NR <br /> OTNER LB OZ PT OT GA <br /> ON <br /> MR <br /> OTHER LS OZ PT OT GA <br /> GR <br /> NR <br /> OTHER LB OZ PT OT GA <br /> ON ❑ <br /> MR <br /> OTHER LB OZ PT OT GA <br /> GO ❑ <br /> NR <br /> OTHER LS OZ PT OT GA <br /> OR ❑ <br /> NR <br /> OTHER LS OZ PT OT GA <br /> Da BMR <br /> OTHER❑ LS OZ PT OT GA <br /> OR ❑ <br /> NP O <br /> oTHER❑ LB OZ PT OT GA <br /> OR <br /> 'II--- <br /> MR <br /> OTHER B LB OZ PT OT GA J <br /> OR <br /> MR <br /> OTHER e❑ LS OZ PT OT GA <br /> GR <br /> oT1E LB 02 PT OT GA <br /> REPORT PREPARED BY DATE �'� REVIEWED BY <br /> OR AGENCY USE ONLY <br /> Form Distribution: White copy--County Agricultural Commissioner; Pink copy--DPR; Canary.-Applicator, Goldanrod--Applicator <br /> F <br />