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_STAWCALMIA M = 911OD8"IOI%RIMfUfIP-%OtWY MPrICR@US@WPcW <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> Submit to the Agricultural Commissioner within 10 days of the month following application. <br /> Mav 2012 Field:5179COR 03 <br /> Month Year 05-01-2012 to 05-31-2012 <br /> Nursery <br /> Operator ID/Permit No Operator(Grower) Address - CityZip Code <br /> TeVELDE,G&E 27515 E.Dodds Rd. Escalon, CA 95320 <br /> Site Identification# Total Planted AcresCounty Section Township Range Base&Meridian <br /> 1-1 21 50 Stanislaus 24 02 ❑ N HS 08 ® E El E] S ® M ❑ H <br /> Commodity/Crop/Site Treated Field Location <br /> CORNFIELD W/Sexton Rd.S/River Rd. #3 <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 21.00 Ground ® 27,99 1.33 Pts/ 10 ROUNDUP POWERMAX <br /> 1700 Acres Air ❑ 0052400549-AA-00000 Pints 4 Hrs Treated Ac Gallons MONSANTO <br /> Other ❑ <br /> -t f. q/^ Y <br /> E 'tii <br /> n <br /> AUG 1 0 2012 <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 />