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_STAOMCALMIA M M 'WDIR"IOMRIMPTUMOORY ffl11rIC1WUSFWP(W M M M M <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> Submit to the Agriculture]Commissioner within 10 days of the month following application. <br /> may 2012 Field:5179COR 04 <br /> Month Year 05-01-2012 to 05-31-2012 <br /> 7 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 Identification# Total Planted Acres County Section Township Range Base&Meridian <br /> 1-1 20 1 50 Stanislaus 24 02 ❑ N ® S 08 ME ❑w ❑ S ® M ❑ H <br /> Commodity/Crop/Site Treated Field Location <br /> CORNFIELDLLLW/Sexton Rd. S/River Rd. #4 <br /> Chemica Date/ 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 20.00 Ground X 26.66 1.33 Pts/ 10 ROUNDUP POWERMAX <br /> 170o Acres Ar ❑ 00524 00549-AA-00000 Pints 4 Hrs Treated Ac Gallons MONSANTO <br /> OthM.er ❑ <br /> AUGSIMIMS <br /> 1 0 20i2fi <br /> A',. 7 <br /> Reviewed By <br /> Report Prepared By <br /> Date 06-05-2012 For Agency Use Only <br /> Copyright©1984-2012,CDMS Inc. Page 1 06/05/2012 <br />