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STATE OF CALIFORNIA <br /> DEPARTMENT OPESTICIDE REGULATION <br /> PR-ENF-017C(REV.2199) Production Agriculture Monthly Pesticide Use Report <br /> ❑ Nursery Month: "Ul 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 /> 1G-7DV18 72.10 39 13 04N OSE M <br /> Commodity/Site Treated Field Location <br /> Wine Grapes N/I-5 and Peltier Rd <br /> Chem Date/Time Acreage/ EPA or State Registration Total Product <br /> Code Application Units AppRoatim Block ID Number(from Label) Used Reentry Rate Dilution Product and Manufacturer <br /> Number Completed Treated Method Per Acre <br /> 07/09/2005 1081.50 24 15.00 1081.50 CSC Dusting Sulfer <br /> 10:00 AM 72.10 Ground J&D Bk 18 55429-3-AA LB hrs LB GAL CSC <br /> Report Prepared By: � �'. � <br /> 8/4/05 Submit to AGRICULTURAL COMMISSIONER within 10 days of the month following application 16 <br />