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STATE OF CALIFORNIA <br /> DEPARTMENT O PESTICIDE REGULATION <br /> PR-ENF-017C(REV.V.2/992/99) 9 Production Agriculture MonthlyPesticide Use Report <br /> ❑ Nursery Month: July Year: 2005 QL-38460/3900181 <br /> Operator ID/Permit No. Operator(Grower) Address City/ State/ Zip <br /> QL-38460/3900181 Colligere Farm Management 420 W. Pine St. Suite 11 Lodi, CA 95240 <br /> Site Identification Number Total Planted Acres County Number Section Township Range Base & Meridian <br /> 3GJDV4-3 53.77 39 22 04N OSE M <br /> Commodity/Site Treated Field Location <br /> Wine Grapes S/PELTIER W/I-5 <br /> Chem Date/Time Acreage/ EPA or State Registration Total Product <br /> Code Application Units Application Block ID Number (from Label) Used Reentry Rate Dilution Product and Manufacturer <br /> Number Completed Treated Method Per Acre <br /> 07/01/2005 806.55 24 15.00 806.55 CSC Dusting Suffer <br /> 03:00 AM 53.77 Ground J&DIV Bk 03 55429-3-AA LB hrs LB GAL CSC <br /> f <br /> 7 <br /> Report Prepared By:8/4/05 Submit Submit to AGRICULTURAL COMMISSIONER within 10 days of the month following application 30 <br />