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STAT <br /> OF <br /> DEPARTMENT <br /> TMENT OF <br /> PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PR-ENF-01 TC IREV.2/BBI <br /> Instructions: Submit the white!c`onv to the Agricultural Commissioner within 10 days of month following application. <br /> M N R , VFAROv 2 <br /> O NURSERY 3 <br /> Page_DI_ <br /> OPERATOR ID//PERMIT NUMBER OPERATOR IGROWER) ADDRESS / CITY ZIP COTE <br /> !�— CUt� Z2— s tdhnG l3a B d " C-hl ��Ee �� a C� B <br /> SITE IDENTIFICATI NUMBER TOTAL PLANT ACREAGE/UNITS COUNTY NUMBER SECTION TOWNSHIP RANGE BASE l MERIDIAN <br /> 3, - 10 /3 � 2 / Z4 3 CIL B ,. -7 W ,S E H <br /> COMMODITVISITE TREATED FIELD LOCATION / _/ <br /> ,T ,G cT.�k ,esll�r+AV/'�`'1GI.1L� <br /> CX YIOAL DATE/TI AGR2. 2 26 <br /> EA.M.TT3 MAP, I%DcK 10 EPA OR STATE REGOITRATIOXNUYBEA TOTALP DUCT VrT0 MYB Mif <br /> (GONG) APPLICABLE) OE NPAWgE) ONUTXIX PRODUCT AND MANUFACTURER <br /> CODETION T <br /> NUNBER APPLICAREATED YU.OD (,FF (FROM LABEL) (CIRgE ONE UNn REENTRY <br /> COMPLETED PER ACRE <br /> 21 23 <br /> ONE) 2728 A 30 31 <br /> 22 <br /> 1 aA <br /> 8 V O On, d 3 C d U B OZ PT OT <br /> Q ❑ o2jJ LOe?s �j�� l )J iJ <br /> AIR <br /> OMER❑ <br /> LB OZ PT OT OA <br /> DR ❑ <br /> NR ❑ <br /> OTHER ❑ LS OZ PT OT GA <br /> GR ❑ <br /> AN, <br /> OTHER LB OZ PT OT GA <br /> OR ❑ <br /> AIR <br /> OTHER LB OZ PT OT GA <br /> MR <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AW ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR <br /> MR <br /> OTHER LB OZ PT OT GA <br /> OAMR <br /> ❑ <br /> OTHER (� pp <br /> oA LB OZ PT OT GA `�+ <br /> MR J '` P l(� i� j"OTHERC3LB OZ PT OT GA I UI L' !I1 <br /> GT / 1 <br /> IDA f <br /> MR <br /> MEP B LB OZ PT OT GA l 1 3 2004 -� <br /> ORMR <br /> 8 <br /> OT pp <br /> OTHER LB oZ PT OT GA <br /> OR ts"vP7Fr.i. ":/f .1 ,'' • <br /> OR <br /> MR <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> ER❑ <br /> LB OZ PT OT GA <br /> REPORT PREPAR BY DATE , <br /> REVIEWED BY <br /> Form Distribution: White copy--County Agricultural Commissioner; Pink copy--DPA; Canary--Applicator, Goltlenrod- ppliwtor FOR AGENCY USE ONLY <br />