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_STAWCALINA "ODRRIOMRIfflFrUffl%OMY MILriC"US?%Po" M M <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> Submit to the Agriculture[Commissioner within 10 days of the month following application. <br /> June 2012 Field:5179COR 03 <br /> Month Year 06-01-2012 to 06-30-2012 <br /> 0 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 Itlentification# Total Planted Acres County Section Township Range Base&Meridian <br /> 1-1 21 50 Stanislaus 24 02 ❑ N ® s OS ® E ❑w ❑ S MOH <br /> Commodity/Crop/Site Treated Field Location <br /> CORN/FIELD W/Sexton Rd. S/River Rd. #3 <br /> Chemira Date/Time Area Application EPA or Stale Registration# Total Days Application <br /> I Code Completed Treated Method Block ID (From Label) Product Reentry Rate Dilution Product and Manufacturer <br /> Number <br /> 06/08/2012 21.00 Ground 42.00 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 21.00 Ground ® 42.00 <a> 2.00 Oz/ 20 BROADSPRED <br /> 1700 Acres Air ❑ 1051080-50020-AA-000 Ounces Treated Ac Gallons CUSTOM AG <br /> Other ❑ <br /> <a>Not Specified <br /> '{��. <br /> Aids 6 z�f't <br /> fk <br /> Reviewed By <br /> Report Prepared By Date 07-05-2012 For Agency Use Only <br /> Copyright©1984-2012,COMB Inc. Page 1 07/052012 <br />