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STMF CAI�IIA M M M 0MRr10MRWTU%%OMLYMTIM UMEPW _ <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> Submit to the Agricultural Commissioner within 10 days of the month following application. <br /> June 2012 Field:5179COR 04 <br /> Month Year 06-01-2012 to 06-30-2012 <br /> ❑ Nursery <br /> Operator ID/Permit No Operator(Grower) Address City Zip Code <br /> TeVELDE, G&E 27815 E.Dodds Rd. Escalon, CA 95320 <br /> Site Identification# Total Planted Acres County Section Township Range Base&Meridian <br /> 1-1 1 20 50 Stanislaus 24 02 ❑ N S OS ® E ❑w ❑ S RM ❑ H <br /> Commodity/Crop/Site Treated Field Location <br /> CORNFIELD W/Sexton Rd.S/River Rd. #4 <br /> Chemica Date/Time Area A lication EPA or State R <br /> I Code pp Block ID Registration# Total Days Application Dilution Product and Manufacturer <br /> Number Completed Treated Method (From Label) Product Reentry Rate <br /> 06/08/2012 20.00 Ground 40.00 2.00 Oz/ 20 ZEAL MITICIDE-1 <br /> 1700 Acres Air ❑ 59639-00138-AA-00000 Ounces 12 Hrs Treated Ac Gallons VALENT <br /> Other ❑ <br /> 06/08/2012 20.00 around ❑® 1051080-50020-AA-000 40.00 <a' 2.00 Oz/ 20 BROADSPRED <br /> 1700 Acres ou er ❑ Ounces Treated Ac Gallons CUSTOM AG <br /> <a>Not Specified <br /> ` . AUG <br /> 3 <br /> JUL1 <br /> 2 <br /> Reviewed By <br /> Report Prepared By Date 07-05-2012 For Agency Use Only <br /> Copyright 0 1984-2012,CDMS Inc. Page 1 07/05/2012 <br />