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JILL(C-11.30/R•11.23/H-11.25/D-2.3) User:Haley Flying Service 8/23/20 11:22:57AM Version:7.7 <br /> STATE OF CALIFORNIA - ENVIRONMENTAL PROTECTION AGENCY <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> • PESTICIDE USE REPORT (33-025 Rev 3/90) PMIS 0033 <br /> Rec.#M13-APL-00963-3 <br /> ( ) Nursery <br /> County Sectionj Townshipj Range Base&Meridianj Method Permittee/Customer Applicator Name&Address <br /> 39 21 1 Ol S I 05E M I G A M FARMS HFS Inc. <br /> Operator Identification Number Site Identification Number Planted Area P.O.BOX 1049 <br /> 39-13-3900051 1-7 92.00 ac TRACY,CA 95378-1049 <br /> Location Block ID AM 1-7-I ASP <br /> W HOWARD 3/4 MI W UNDINE* 13 <br /> Date/Time Applied Area Treated Commodity or Site Treated Crop ID <br /> Proposed:08/22/13 1330 Actual <br /> Actual: 08/22/13 1600 50.00 ac ASPARAGUS 16002-00 <br /> Restricted Chemical Registration Number Total Formulated Rate Per Dilution <br /> Material Number Product and Manufacturer From Label Product Used ac Volume <br /> N 99006 ACTIVATOR 90 SURFACTANT 34704-50034 1.40 0.2240 20.00 <br /> LOVELAND al rt al _ <br /> N 253 LORSBAN ADVANCED 62719-591-AA 12.50 2.00 20.00 ASPARAGUS <br /> Dow Agrosciences gal pt gal <br /> Days Reentry Days Preharvest Application Supervised By NW N NE <br /> 24 day 1 day Gary Del Carlo <br /> Environmental Changes/Comments <br /> • W E <br /> Target Area <br /> Submitted By: Date Time PCA Name S W S SE <br /> Denis Della Nina 8/23/201. 11:23 AM Lew Baumbach 4700 <br /> Received By: Box No. Date Time Approved <br /> Denied <br /> RECE11/E® <br /> AUG 3 0 2013 <br /> AGN. COMM. . <br /> STOCKrON <br />