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i f 1 i 1 per,1 I i <br /> STATE OF CALIFORNIA PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PR-ENF-017C(REV.2/99) <br /> Instructions: Submit the whiteg-M to the Agricultural Commissioner-rithi.D 10 days of month following application. <br /> MONTH j�" 1 YEAR 2 <br /> NURSERY 3 <br /> Page_of <br /> OPERATOR ID/P <br /> ER <br /> MIT NUMBER OPERATOR(GROWER) <br /> l ADDRESS[� CITY ZIP CODE <br /> 4 L7 / "� 5 ��L� �•,�nl"4.? 'd` SSS / r �t �_ 7�:..,2:i��.. 6 <br /> SITE IDE <br /> IDENTIFICATION NUMBER TOTAL PLANTED ACREAGE/UNITS COUNTY NUMBER SECTION [TOWNSHIP RANGE BASE h MERIDIAN <br /> 9 / —1), � 1 10 L J L 11 Z`.1At ':/Oc l:i•V 12 ( 13(•FdIir�wl N ` L E <br /> S�14 S L E 15 SpM H <br /> COMMODITY/SITE TREATED FIELD LOCATION p { •7-46h� e + __ 7-/A.U�,N f tit <br /> n <br /> CHEMICAL DATE/TIME ACREAGE/UNTTS APP. BLOCK ID EPA OR STATE REGISTRATION NUMBER TOTAL PRODUCT USED DAYS RATE DILUTION PRODUCT AND MANUFACTURER <br /> CODE NUMBF-R APPLICATION TREATED METHOD (IF (FROM LABEL) (CIRCLE ONE UNIT REENTRY PER ACRE <br /> COMPLETED (CHECK APPLICABLE) OF MEASURE) <br /> 21 22 23 24 ONE) ^5 26 27 28 29 30 31 <br /> l y f-15-C)d t: MR o Cy l 4,J ZL -/o .3 �/� 1� C� ice'eek �f, �y <br /> OTHER❑ LB OZ PT QT Gk <br /> � GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> GR ❑ } r <br /> AIR C❑ <br /> OTHER 7 LB OZ PT OT GAGR <br /> a} <br /> L1AIR <br /> ❑ C. <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ (y'' ^f 2 (J��n{ <br /> 002 <br /> AIR ❑ FEB � 8 <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ f'�+ <br /> OTHER ❑ LB OZ PT QT GA AG R } <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER p LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> ,� OTHER❑ LB OZ PT OT GA <br /> REP T PREPARED BY �`' 'e' /`� b ��' "t DATE �12 ^-'� 1 '�- REVIEWED BY <br /> Form Distribution: White copy--County Agricultural Commissioner; Pink copy--DPR; Canary--Applicator, Goldenrod--Applicator FOR AGENCY USE ONLY <br />