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M sTAWcAL_IA M M "ODRR70tMRIM'PTUM%O#WY PMTIC'gPUSPEPM <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> Submit to the Agricultural Commissioner within 10 days of the month following application. <br /> Aofil 2011 Field:5179WAL 10 <br /> Month Year 04-01-2011 to 04-30-2011 <br /> ❑ Nursery <br /> Operator ID/Permit No Operator(Grower) Add ess city Zip Code <br /> 39-13-3903109 TeVELDE,G 8,E 27815 E.Dodds Rd. Escalon,CA 95320 <br /> Site Identification# Total Planted Acres County Section Township Range Base&Meridian <br /> 1-4 47 39 San Joe uin 24 02 ❑ N HS 08 ® E ❑W ❑ S X M ❑ H <br /> Commodity/Crop/Site Treated 3 10 1 0 9 0 Field Location <br /> WALNUTS ENGL W/SeMon S/River Rd. <br /> Chemie Date/Time Area Application EPA or State Registration# Total Days Application <br /> I Cotle Completed Treated Method Block ID (From Label) Product Reentry Rate Dilution Product and Manufacturer <br /> Number <br /> 04/16/2011 6.00 Ground 24.00 4.00 Lbs/ 100 KOCIDE 3000 <br /> 1700 Acres All ❑ 00352-00662-ZA-00000 Pounds 48 Hrs Treated Ac Gallons DUPONT <br /> Other ❑ <br /> 04/16/2011 6.00 Ground ® 14.40 2.40 Lbs/ 100 MANZATE PRO-STICK <br /> 1700 Acres Air ❑ 70506-00234-AA-00000 pounds 24 Hrs Treated Ac Gallons UPI <br /> Other ❑ <br /> 04/16/2011 6.00 Ground ® 19.20 `a' 3.20100 BROADSPRED <br /> 1700 Acres Air ❑ 1051080-50020-AA-000 Other EIGalloOunces Gal ns CUSTOM AG <br /> <a>Not Specified <br /> RECEIVED <br /> MAY 10 2011 .:°- � <br /> AGR.COMM.SIUGKTON '' °' n n 1 <br /> : k O 2 1 Y tF <br /> �;. <br /> 1 yl <br /> Reviewed By <br /> Report Prepared By Dale 05-06-2011 For Agency Use Only <br /> Copyright 0 1984-2011,CDMS Inc. Page 1 05/06/2011 <br />