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STATE OF CALIFORNIA <br /> DEPARTMENT O CIDEREGULATION <br /> PR-ENF-017C(REV.2/99) Production Agriculture Monthly Pesticide Use Report <br /> ❑ Nursery Month: Mav 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-JDV20 32.27 39 18 04N OSE M <br /> Commodity/Site Treated Field Location <br /> Wine Grapes N/Peltier Rd E/Ray Rd <br /> Chem Date/Tme Acreage/ EPA or State Registration Total Product <br /> Code Application Units ApplicationEPA <br /> ID Number(from Label) Used Reentry Rate Dilution Product and Manufacturer <br /> Number Completed Treated Method Per Acre <br /> 05/26/2005 17.60 12 2.00 220.00 Ammonium Sulfate <br /> 08:00 AM 8.80 Ground J&D Bk 20 Exempt LB hrs LB GAL <br /> o :oi an i i 5o <br /> Report Prepared By: <br /> 6/2/05 U4 fo A ICULTURAL COMMISSIONER within 10 days of the month following application 53 <br />