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STATE OF CALIFORNIA <br /> DEPARTMENT OF PESTICIDE REGULATION production Agriculture Monthly Pesticide Use Report <br /> PR-ENF-017C(REV.2/99) QI-38460/3900181 <br /> ❑ Nursery Month: May Year: 2005 <br /> Operator ID/Permit No. Operator (Grower) Address City/ State/ Zip <br /> QI-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 /> 1G-JDV17 51.31 39 13 04N 05E M <br /> Commodity/Site Treated Field Location <br /> Wine Grapes N/I-5 and N/ Peltier Rd <br /> Chem Date/rime Acreage/ EPA or State Registration Total Product Rate <br /> Application Block ID Number from Label Used Reentry Dilution Product and Manufacturer <br /> Code Application Units ( ) Per Acre <br /> Number Completed Treated Method <br /> 05/26/2005 27.98 12 2.00 349.81 Ammonium Sulfate <br /> 06:00 AM 13'99 Ground 1&D Bk 17 Exempt LB hrs LB GAL <br /> y I l(1( S0 <br /> Report Prepared By: , <br /> 6/2/05 Submit to AGd-7u C ISSIONER within 10 days of the month following application 46 <br />