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I i i i I i i i i i i i `? <br /> APPLICATION - RESTRICTED MATERIALS PERMIT- S PPLEMENTI PEt RMIT NO. c;p <br /> } LZ� PAGE NO. <br /> MAP ACRES/ DILUTION/ DATE/- " <br /> LOCATION ���r1 SEC TWN QRNG IID COMMODITY UNITS PESTICIDES ` PESTS F' M" RATE VOLUME APPL TIMING <br /> LJA <br /> fr- <br /> 9. <br /> 10. <br /> 11. <br /> 12. f4vc, <br /> 13. M <br /> 14. <br /> 15. <br /> 16. <br /> 17. <br /> 18. <br /> 19. <br /> 20. <br /> 21. <br /> 22. <br /> 23. <br /> 24. <br /> 25. <br /> 26. <br /> 27. <br /> 28. <br /> 29. <br /> 30. <br /> 31. <br /> 'Formulation:L--Liquid B—Bait D—Dust F—Fumigant G—Granules <br /> WP—Wettable Powder O—Other APPLICANT SIGNATURE DATE <br /> "Method: A--Air F—Fumigation Gr—Ground O—Other ISSUED BY �/ DATE L:$/7— f <br /> CCC STATE OF CALIFORNIA <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> DISTRIBUTION:WHITE B YELLOW-COUNTY AGRICULTURAL COMMISSIONER;PINK&GOLD-PERMITTEE ®OSP OB 109802 PR-ENF-126A(REV.10/07)Page 1 o11 <br />