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STATE OF CALIFORNIA PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PR-ENF 017C(REV.VN) <br /> Instructions: Submit the white cove to the Agricultural Commissioner within 10 days of month following application. <br /> MONTH I1 YEAn Z <br /> ONURSERY J Pegs, ofL <br /> OPERATOR ID/PERMIT NUMBER OPERATOR(GROWER) ADDRESS / <br /> / CISTY <br /> Z <br /> A1217 Up)) T <br /> 6Sc <br /> SITE IDENTIFICATION NUMBER iOTALPUNTED ACREAGE/UNITS COUNTY NUMBER SECTION g) 1��77 TOWNSHIP RANGE BASEIMERIDIAN <br /> ) <br /> 0.2 a-a 3 - a.S-a -1 10 LV <br /> / 11 - 12 /[/ 10 UL 3 1 WIs S H <br /> COMMODIITTYISSr-h 'u�ITE TREATE� / FIELD LOCA NS/f C Zt..A*, �t QWT1iY GLI, MASE /I <br /> n U I/` /� CIS Gp IB S/r, / / e r ok(fk .&'t <br /> S Ie <br /> CHEWCAL DATP/TI4E ACRFAOFNNR! APP. MOCK ID EPA OR STATE AEDIETMTION XVMEER TOTAL MoviT USED DAYE RATE DILUTION PRODUCE AMO WMVFACTURER <br /> COOEWCAL AVYLICATWN TREATED YETHOO pF (FROM 4BEy Iowa ONE UNIT REEInRY PERACRE <br /> CgMPIETED (CHEM APPGCULE) Of MEASURE) <br /> 21 J 240XE) 255 267[ 27 2B + 00MR <br /> BI <br /> OR L <br /> �J OTHER C)p�3- 'OI 1 Q/](] J LB OPT OT �2 I ]�•,J x.25 X�•••rT /� <br /> OR <br /> J OTHER❑ t-T' - (J I LB OZ PTT JFrF <br /> IT SO �I17/�C �I�l <br /> SE. <br /> R / f <br /> J // SEAQ JJf.�/ 1 '—[�l� LB OZ PT OT ) /) /WZ jai ,;//I/�JI YIG L VI �N <br /> lla V <br /> AIR <br /> IER B -� !/`��111/ '-J LB O2 O OT .G / t 256 (V i/'1 22 1 <br /> dF J U Oli1EP OZ P OOT GA /'h <br /> DR <br /> MR <br /> OT <br /> OTHER ❑ LB 02 PT OT GA <br /> OR ❑ <br /> NR ❑ <br /> OTHER❑ LS OZ PT OT GA <br /> OR ❑ <br /> AR <br /> OTHER LB OZ PT OT GA <br /> OR ❑ <br /> MR <br /> OTHEA 8 LB OZ PT OT GA 11 <br /> OR ❑ 1 <br /> MR o / <br /> OTHER❑ LB OZ PT OT GA <br /> DRSEP 1 g 2004 <br /> OR H <br /> THER❑ LB OZ PT OT WOR <br /> A�(+) ,n1� <br /> OMRTHER LB OZ PT OT GA AGR. C®I�IM. -STOCKTON <br /> M <br /> DR 8MP <br /> OTHER❑p LB OZ PT OT GA <br /> ufl ❑ <br /> on1EA❑ LR OZ IT OT GA <br /> REPORT PREPARE - DATE REVIEWED BY <br /> Pinkw DPR; Cane licator Golden d--Applicator FOR ArsoKCY us,c GNLY <br /> Form Distribution: Whits, py--County Agricultural Commissioner; py-- rY--APP <br />