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I I I ( 9 e p �y I� I <br /> STATE DEPARTMENT <br /> PRODUCTION A,GRI"�rU,.,TUR MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PR-ENF-017C(REV.2/99) <br /> Instructions: Submit the ffbilp qppy to the Agricultural 4omnnisskmer withi., 10 days of month following application. <br /> MONTH 1 YEAR 2 <br /> 7 <br /> NURSERY 3 <br /> Page of_ <br /> OPERATOR ID/PERMIT NUMBER OPERATOR(GROWER) 1 ADDRESS`(/ CITY ZIP CODE <br /> RU <br /> q ` 7 5 b j--���i.I'4.?�-d'" 16' I / r' c ti �'►� P f`l�%•7E13 <br /> , 8 �� J <br /> SITE IDENTIFICATION NUMBER TOTAL PLANTED ACREAGE/UNITS COUNTY NUMBER SECTION P RANGE BASE&MERIDIAN <br /> 9 /' c�. ��` 10 1 f 11 �A{ •�cJ,, f`r 12 , r 7 /,� S 14 W 15 S M H <br /> IN <br /> COMMODITY/SITE TREATED FIELD LOCATION Z a{ •�A6h/j ; e_� --__ �- 4 ti f ('r { <br /> ;dScc yi e.cr <br /> t �I <br /> 17 W 1\1244 19 �.i.,Yl NrG'h/ /ti <<i.�� l A A' <br /> CHEMICAL DATE/TIME ACREAGE/UNfTS APP. BLOCK ID EPA OR STATE REGISTRATION NUMBER TOTAL PRODUCT USED DAYS RATE DILUTION PRODUCT AND MANUFACTURER <br /> CODE NUMBER APPLICATION TREATED METHOD (IF (FROM LABEL) (CIRCLE ONE UNIT REENTRY PER ACRE <br /> COMPLETED (CHECK APPLICABLE) OF MEASURE) <br /> 21 22 23 20.ONE) 5 26 27 26 29 30 31 <br /> GR AIR ❑ °� %L L�`- /U (1&1 <br /> =1 -,(1 Ii:.Gv�{ � OTHER E] LB OZ PT OT GA L� I <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR El <br /> OTHER❑ <br /> LB OZ PT DT GA �- <br />