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M STAW CALOMIA M M IRODIRI04%RIMILrUMO#WY RITIC"USMP�l" M M M M <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> Submit to the Agricultural Commissioner within 10 days of the month following application. <br /> April 2012 Field:5179WAL 10 <br /> Month Year 04-01-2012 to 04-30-2012 <br /> Nursery <br /> Operator ID/Permit No Operator(Grower) Address - - CityZip Code <br /> 39-13-3903109 TeVELDE,G&E 27815 E.Dodds Rd. EScalon,CA 95320 <br /> Site Identification# Total Planted Acres County SectionTownship <br /> Range Base&Meridian <br /> 1-4 47 39 San Joaquin) 24 02 ❑ N ® S 08 ® E ❑W ❑ S ® M ❑ H <br /> Commodity/Crop/Site Treated 3 0 09 0 Field Location <br /> WALNUTS ENGL W/Sexton SlRiver Rd. <br /> Chemica Date/ Area ApplicationEPA or State Registration# Total Days Application <br /> 1 Code Time Treated Method Block ID (From Label) Product Reentry Rate Dilution Product and Manufacturer <br /> Number Completed <br /> GroundKOCIDE <br /> 04/2700 Acres Air ❑ 00352-00662-ZA-00000 24.00 4.00 Lbs 100 DUPONT3000 <br /> 1700 Acres Other ❑ Pounds 48 Hrs Treated Ac Gallons DUPON <br /> 04127 ❑ 14.40 2.40 Lbs! 100 MANZATE PRO-STICK <br /> 170000 Acres <br /> Air Ground 70506-00234-AA-00000 s other ❑ Pounds 24 Hrs Treated Ac Gallons UPI <br /> 04/272012 6.00 Ground ® 19.20 `a' 3.20 Oz/ 100 BROADSPRED <br /> 1700 Acres Air El1051080-50020-AA-000Ounces Treated Ac Gallons CUSTOM AG <br /> Other ❑ <br /> <a>Not Specked <br /> `"s N k <br /> AU6 1 © 2012 Ew <br /> ?�n)' <br /> ���. tJLi•i',8'J r. <br /> Reviewed By <br /> Report Prepared By Date 05-04-2012 For Agency Use Only <br /> Copyright 0 1984-2012,CDMS Inc. Page 1 05104/2012 <br />