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NWTATPW—AUFM M = MDUJ"ONMPRICTURt9ON i�LY Ft3l ICITUSEOWcPO" M M <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> Submit to the Agricultural Commissioner within 10 days of the month following application. <br /> Mav 2011 Field:5179WAL 18 <br /> Month Year 05-01-2011 to 05-31-2011 <br /> ❑ Nursery <br /> Operator ID I Permit No Operator(Grower) Address city Zip Code <br /> 39-13-3903109 TeVELDE,G&E 27815 E.Dodds Rd. Escalon,CA 95320 <br /> Site Identification# Total Planted Acres County Section Township Range Base&Meridian <br /> 1-2 115 311San Joaquin) 24 02 ❑ N X S 08 ® E ❑w ❑ S ® M ❑ H <br /> Commodity(Crop/Site Treated 3 0 0 9 0 Field Location <br /> WALNUTS ENGL W/Sexton N/Stanislaus River <br /> Chem!ce Dale/Time Area Application EPA or State Registration# Total Days Application <br /> I Code Completed Treated Method Block ID (From Label) Product Reentry Rate Dilution Product and Manufacturer <br /> Number <br /> 052512011 39.00 Ground ® 7.09 `a> 2.00 Pts/100 20 CHOICE WEATHER MASTER <br /> 1700 Acres <br /> Air ❑ 34704-50038-AA-00000 Pints Gal Gallons LOVELAND <br /> Other ❑ <br /> 0525/2011 39.00 Ground ® 35.45 2.00 Pts/ 20 ROUNDUP POWERMAX <br /> 1700 Acres Air El 00524-00549-AA-00000 Pints 4 Hrs Treated Ac Gallons MONSANTO <br /> Other ❑ <br /> 05/252011 39.00 Ground ® 17,73 1.00 Pt/ 20 GOAL 2XL <br /> 1700 Acres Air ❑ 62719-00424-AA-00000 Pints 24 Ins Treated Ac Gallons DOW AGROSCIENCE <br /> Other ❑ <br /> 52011 39.00 Ground ® 10.64 `a> 3.00 Pts/100 20 SPREADER 90 <br /> 2512011 <br /> Air El34704-50055-AA-00000pints Gal Gallons LOVELAND <br /> 1700 Other ❑ <br /> <a>Not Specified <br /> RECEIVED <br /> JUN092011 <br /> AGR, COMM:STOC'U01i E C E I V E <br /> AUC1 1 9 2011 <br /> !AGR, comm, Siiv m <br /> Reviewed By <br /> Report Prepared By Date 06-03-2011 For Agency Use Only <br /> Copyright©1984-2011,CDMS Inc. Page 1 06/03/2011 <br />