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MOF(MRNAIIIIIIIIIIII 1RO TIM GR LT M HL STI E U RE T <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> Submit to the Agricultural Commissioner within 10 days of the month following application. <br /> June 2012 <br /> Month Year Field:5179COR 11 <br /> ❑ Nursery 06-01-2012 to 06-30-2012 <br /> Operator lD/Permit No Operator(Grower) Address <br /> TeVELDE, G&E 27815 E.Dodds Rd. Qty Zip Code <br /> Site Identifica8on# Total Planted Acres County Section ESCalon, CA 95320 <br /> 1-4 15 Township Range Base&Meridian <br /> Commodity/Crop/bne Treated 50 StanISIaUS 24 02 ❑ N S OS ® E ❑W ❑ S ® M ❑ H <br /> CORN/FIELD Field Location <br /> W/Sexton Rd. S/River Rd. #11 <br /> FC-I Code <br /> Date/Time Area A lication <br /> 1 Code Completed Troated Method Block ID EPA or State Registration# Total Days Application Dilution Product and Manufacturer <br /> Number (From Label) Product Reentry Rate <br /> 06/082012 15.00 Ground ® 30.00 2.00 Oz/ 20 ZEAL MITICIDE-1 <br /> 1700 Acres Air ❑ 59639-00138-AA-00000 <br /> other ❑ Ounces 12 Hrs Treated Ac Gallons VALENT <br /> 06/082012 <a> <br /> 1700 Acres <br /> A r ❑ 1051080-50020-AA-000 30.00 2.00 Oz/ 20 BROADSPRED <br /> <a>Not Specified other ❑ Ounces Treated Ac Gallons CUSTOM AG <br /> z <br /> E C E I V E <br /> AU6 6 2012 <br /> FY' �'• <br /> Reviewed By <br /> Report Prepared By Date 07-05-2012 For Agency Use Only <br /> Copyright©1984-2012,CDMS Inc. Page 1 <br /> 07/05/2012 <br />