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08/04/2004 15:02 3317288 SAN JOAQUIN COUNTY PAGE 03 <br /> LJILL.%ad-10/R-6.10/H.6,08/D-3.0) User;Alpine Helicopter Scri4nc.,04/10/2003 7-.57:15AM Version;43 <br /> STATE OF CALIFORNIA - ENVIRONMENTAL PROTECTION AGENCY <br /> L <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PESTICIDE USE REPORT(33-025 Rev 3/90) PMIS 0033 <br /> LRec.n M03-APL-00189-1 <br /> ( ) Nursery <br /> LCounty Section Township I Range jBase&Meridianj Method I Permitte/Customer Applicator Name&Address <br /> 39 5 I 3N , 5E M I A _I HWY 12 FARMS,.INC ALPINE HELICOPTER SERVICE,IN( <br /> Operator Identification Number Site Identification Number Planted Area P.O. BOX 1405 <br /> L39-03-39 4227 _ , _ 03-01-2_ 87-00 ac WOODBRIDGE,CA 95258 <br /> Location Block ID G 1 M N/HWY <br /> Date/Time A lied Area Treated <br /> pp Commodity or Site Treated Crop ID <br /> Proposed;04/03/03 1130 am Actual <br /> Actual: 04/03/03 11:30 am 80.00 ac WHEAT <br /> RestrictedlChemical Registration Number ! Total Formulated Rate Per Dilution . <br /> L <br /> Material Nnmber . Product and Manufacturer From Label Product Used acVolume <br /> 640.00 8,00 10.00 <br /> N/A oz OoOz mal <br /> — <br /> — 19713-00231-AA-0066612D 00 i 12. I 10.00 <br /> N 2160 D11vtETWOATfi 4E ) <br /> MICRO FLO gal �t: gal <br /> N R-11 02935-50142-AA-OV000 2.00 ' 0.2000 10.00 <br /> WILBUR-FL1,15 gal pt gal <br /> LDays Reentry Days Preharvest Application Supervised By NW N NE <br /> until D 0 day _ _ JOEL DOZHIER _ <br /> L Environmental Changes/Comments <br /> _.. ...._ . _._ E <br /> it <br /> Target Area <br /> j I <br /> L _.__._...-..__—__...._... .. . . ... .. .. _. j <br /> .. .-. ... <br /> Submitted By: Dare Time PCA Name SW S SE <br /> JOEL DOZHIER 04110/03 757A JOHN ARNAUDi1098 <br /> L <br /> —Received -------r--- _ .- <br /> Received By: i Box No, � Date Time ! IApproved- <br /> Denied <br /> i� <br /> C- - i— <br /> rte- <br /> U <br /> 6- <br /> L <br />