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EMSTAWALINNA = = WRID&MON"RIARUFMONTRY ffl1kICI9JSA%PC" - <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> Submit to the Agricultural Commissioner within 10 days of the month following application. <br /> MMa r� 2012 Field:5179COR 11 <br /> Month Year 05-01-2012 to 05-31-2012 <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 Idenfification# Total Planted Acres County Section Township Range Base&Meridian <br /> 1-4 15 50 Stanislaus 24 02 ❑ N ® S 08 ® E ❑w ❑ S ® M ❑ H <br /> Commodity I Crop I Site Treated Field Location <br /> CORNFIELD W/Sexton Rd.S/River Rd. #11 <br /> Chemica Date I Area Application EPA or State Registration# Total Days Application <br /> I Code Time Treated Method Block ID. (From Label) Product Reentry Rate Dilution Product and Manufacturer <br /> Number Completed <br /> 05/05/2012 15.00 Ground ® 20.00 1.33 Pts/ 10 ROUNDUP POWERMAX <br /> 1700 Acres A'r ❑ 0052400549-AA-00000 Pints 4 Hrs Treated Ac Gallons MONSANTO <br /> Other ❑ <br /> C v <br /> AUG 1 2012 <br /> 161 <br /> Reviewed By <br /> Report Prepared By Date 06-05-2012 For Agency Use Only <br /> Copyright O 1984-2012,CDMS Inc. Page 1 06105/2012 <br />