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_STAAWALIIW M M WDdMONTRR1CWRUA%OIWY FICIAJ$MPIC"I M M M M <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> Submit to the Agricultural Commissioner within 10 days of the month following application. <br /> AOril 2011 Field:5179WAL 23 <br /> Month Year 04-01-2011 to 04-30-2011 <br /> ❑Nursery <br /> Operator ID/Permit No Operator(Grower) Address - City Zip C)de . <br /> 39-13-3903109 TeVELDE,G&E 27815 E.Dodds Rd. Escalon, CA 95320 <br /> She Identification# Total Planted Acres County Section Township Range Base&Meridian <br /> 1-9 5 39 San Joaquin) 24 02 ❑ N ® S 08 M E ❑W ❑ S ® M ❑ H <br /> Commodity I Crop/Site Treated 3 0 09 0 Field Location <br /> WALNUTS ENGL W/Sexton N/Stanislaus River <br /> I Code Date/Time Area Application EPA or Slate Registration# Total Days Application <br /> I Code Completed Treated Method Block ID (From Label) Protluct Reentry Rale Dilution Product and Manufacturer <br /> Number <br /> 04/16/2011 5.00 Ground ® 20.00 4.00 Lbs/ 100 KOCIDE 3000 <br /> 1700 Acres Air ❑ 00352-00662-ZA-00000 Pounds 48 Hrs Treated Ac Gallons DUPONT <br /> Other <br /> 04/1612011 5.00 Ground 12.00 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 /> 04N 612071 5.00 Ground ® 16.00 `a' 3.20 Oz/100 100 BROADSPRED <br /> 1700 Acres Air ❑ 1051080-50020 AA-000 Ounces Gal Gallons CUSTOM AG <br /> Other ❑ <br /> <a>Not Specified <br /> MAY 2 6 2011 x <br /> MAY 1 <br /> Reviewed By <br /> Report Prepared By Date 05-06-2011 For Agency Use Only <br /> Copyright O 1984-2011,CDMS Inc. Page 1 05/06/2011 <br />