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_ STAWCALOWIA M = "ODflMIOM%RII"TUPMOPLY MTICIP USMP�IW DEPARTMENT OF PESTICIDE REGULATION Submit to the Agricultural Commissioner within 10 days of the month following application. April 2012 Field:5179WAL 23 Month Year 04-01-2012 to 04-30-2012 Nursery Operator ID/Permit No Operator(Grower) Address City Zip Code 39-13-3903109 TeVELDE,G&E 27815 E.Dodds Rd. Escalon, CA _191; Site Identification# I olal Planted Acres County Section Township Range Base R Meridian 1-9 5 39 San Joa uin 24 02 ❑ N X S OS W E ❑w ❑ S ®M ❑ H Commodity/Crop/Site Treated 3 0 0 9 0 Field Location WALNUTS ENGL W/Sexton N/Stanislaus River Chemica Date I Area Application EPA or State Registration# Total Days Application I Code Time Treated Method Block ID (From Label) Product Reentry Rate Dilution Product and Manufacturer Number Completed G 04/13/2012 5.00 round M 20.00 4.00 Lbs/ 100 KOCIDE 3000 1700 Acres Air ❑ 00352-00662-ZA-00000 Pounds 48 Hrs Treated Ac Gallons DUPONT Other ❑ 04/13/2012 5.00 Ground ® 12.00 2.40 Lbs/ 100 MANZATE PRO-STICK 1700 Acres Air ❑ 70506-00234-AA-00000 pounds 24 Hrs Treated Ac Gallons UPI Other ❑ 04/13/2012 5.00 Ground X 16.00 `a' 3.200z/ 100 BROADSPRED 1700 Acres Air ❑ 1051080-50020-AA-000 Ounces Treated Ac Gallons CUSTOM AG Other ❑ 04/2712012 5.00 5.00 2000. 4.00 Lbs/ 100 KOCIDE 3000 1700 Acres Air ❑ 00352-00662-ZA-00000 Pounds 48 Hrs Treated Ac Gallons DUPONT Other ❑ 04/27/2012 5.00 GroundAir El Other 12.00 2.40 Lbs/ 100 MANZATE PRO-STICK . 1700 Acres Other ❑ Pounds 24 Hrs Treated Ac Gallons UPI 04/27/2012 5.00 Ground ® 16.00 `a' 3.20 Oz/ 100 BROADSPRED 1700 Acres Air ❑ 1051080-50020-AA-000. Ounces Treated Ac Gallons CUSTOM AG Other ❑ 014/2712012Ground a127/zolz 5.00 20.00 4.00 Pts/ 100 BIOMIN ZINC` 1700 Acres Aar ❑ Exempt Pints Treated Ac Gallons JH BIOTECH Other ❑ <a>Not Specified AUG 1 0 uil e,vi JL+O yi4 ez+t, ,.'Y5$td(Itk�ti' yi Reviewed By Report Prepared By Date 05-04-2012 For Agency Use Only Copyright©1984-2012,CDMS Inc. Page 1 05/04/2012