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�STA�CALIE4 = = 'WDM"IOMRIfflFruf %oNWY &ffFriJWusftPCW M M <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> Submit to the Agricultural commissioner within 10 days of the month following application. <br /> June 2012 Field:5179WAL 08 <br /> Month Year 06-01-2012 to 06-30-2012 <br /> Nursery <br /> Operator ID/Permit No Operetor(Grower) Address city Zip Code <br /> 39-13-3903109 TeVELDE,G &E 27815 E.Dodds Rd. Escalon,CA 95320 <br /> Site Identification# Total Planted Acres County Section Township Range Base&Meridian <br /> 1-4 1 47 39 San Joaquin) 24 02 p N S OS ® E ❑w ❑ S ® M ❑ H <br /> Commodity/Crop/Site Treated 3 0 0 9 0 Field Location <br /> Ll <br /> WALNUTS ENGL W/Sexton S/River Rd. <br /> Chemice Date/Time Area Application EPA or State Registration# Total Days Application <br /> I Code Completed Treated Method Block ID (From Label) Product Reentry Rate Dilution Product and Manufacturer <br /> Number <br /> 06/16/2012 20.00 Ground ® 100.00 5.00 Lbs/ 100 20-20-20(MICROSOL) <br /> 1700 Acres Air Other ❑❑ EXEMPT Pounds Treated Ac Gallons RNA <br /> 06/16/2012 20.00 Ground ® 80.00 `a' 4.00 Pts/ 100 FORMULA 1 SW(0-28-25) <br /> 1700 Acres Other El r F1 Pints Treated Ac Gallons CUSTOM AG <br /> 06/16/2012 20.00 Ground80.00 `a' 4.00 Pts! 100 BIOMIN MN&ZN` <br /> 1700 Acres Air Other EXEMPT Pints Treated Ac Gallons JH BIOTECH <br /> <a>Not Specified <br /> 71 C <br /> AUG 6 201"L <br /> .. C E <br /> I;II_ 1 i LUi% <br /> i .: 1, I✓U.ti;`:;. - u i L'Ls:ii L. <br /> Reviewed By <br /> Report Prepared By Date 07-05-2012 For Agency Use Only <br /> Copyright©1984-2012,CDMS Inc. Page 1 07/05/2012 <br />