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REST ICTED MATeRI€�L SO PERM(, - ) con Page#: 6 <br /> ��F -f�F'i - �, o a e <br /> GE r'- FARMS, FREDPer mit#e .17- 10-39c_rc>3=-! <br /> WORKERS SAFETY SERIES ATTACHED <br /> [X]_€y N,._. through-r€-•9 General. vinfer �^� S-i Cholinesterase Testing <br /> —_--._..—_------......».._———_--_...--.-.---_--—.-........Y--.---_— <br /> 11 <br /> L1 - <br /> a ; . i aiilbc: & ;='-seri Y:<y i-c-rb G1't= - €-#iii ct Vyj:` `s zcYt JF4s Area <br /> D:i.C:'�,.mb_a & P hens xvs .,palzi a-' Ha <br /> 'c?rdC�LIS ria <br /> 1.. .J S ..._ He lk---t€il S.-Yd:s_i€rti (VZAP a,rtl) <br /> V -- Rice Pesticides Progr-am <br /> hlcl�nate [rrds a.€-n; Worker Sk's t=y <br /> C 3 Attachments 1.-9u Molinate ( 1. r6) thiobencarb (x,6,7.) , acartYofur-;;4rl <br /> y (3,6) , €rie'thylparatF€ion (4,9) and malathion (VOIUntar-y' S) <br /> ide <br /> [X] W Methyl Brow- <br /> 3 � Soil within greenhouses <br /> s <br /> j- 4€_'i_i o,.j <br /> f__I Tarped poit_t':ing soi]. <br /> Sin(--i le tree site <br /> a _ cursdan s. he€�ai gation of grapes <br /> _. .__-"__.-__.---_--•-- <br /> PESTICIDE SALES; C ?t=#tkh DWATE R PRO ECTI Ct <br /> -- ------------------------------------------------: _...__ <br /> T the €llatf~'ri al• 1 af', jl tC' cirwss.ir€g y$_€.l I r•1L':t be used .3 C"€ a Pc-stirii Eana emne€ t <br /> ZC71"€e (as dc—scribed in Se>i''yion 63'02,. Title T., California Code 01 Recd-. <br /> ulc'it:1.C}€-1) for outdoor in�-'Alti'f"utional or outdoor industrial <br /> - •Tj-ie material i. am purchasir€g wJ. Ii he used :i.l-i a Pesticide ManaQeMer€w Mone <br /> (ate described in Stiction 660-2, Title ­3, California Code of Regulations) <br /> f0i� agr.t.ct_clte.rr-al. , outdloor institutional or out=door industrial use and a <br /> "^.-o€"'/ of my re-stric ed material-s permit is attached . <br /> r ' _t om.fl:c[_'i€"Ee j__ Stomach. <br /> 1~'ai:r, i al purchased .- �_' Atr a�ina � � � <br /> Diuron t Tj Pr0filrt011 B'ntt_'i.=)n <br /> I C",er tify under pence f ty Lif tper.jur-y t6-iat the for-E�gs_=:ng, statement is true:, <br /> and that I will not apply any material listed in Section 6800(-a) in any <br /> f c'f---tj.ci.de Management lone for agriculture, cfr_€trdOOr institutional er <br /> outdoor industrial use= except in acccrdan:-e with a permit issued by, the <br /> county ?..gric4_€I tr_kr al commissioner or t eie director- fir€ a county in which <br /> ere s no commissioner. <br /> Purchaser Da te <br /> v <br />