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'-1 .771 7-1 7 . .'tel �­-1 771 1 71 71 �7 <br /> STATE OFRNIA <br /> DEPARTMENT PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> N3 OF OF PESTICIDE REGULATION <br /> PR-ENF-017C(REV.2199) <br /> Instructions: Submit the white,copto the Agricultural Commissioner within 10 days of month following application. .. <br /> MONTH 1 YEAR�2 <br /> NURSERY 3 <br /> Page-01 <br /> OPERATOR IDIIFE�RM17 NUMBER OPERATOR(GROWER) 3 ADDRESS � }yi ftTCWNSHIP <br /> CITY ZIP CODE <br /> mtti1 6 W gOI/Q 7 � <br /> SITE IDENTIFICATION NUMBER NOTAL PLANTED ACREAGEIUNITS COUNTY NUMBER SECTION RANGE BASE A MERIDIAN <br /> 9 14 C 11 12 S 14 W115 S H <br /> COMMODITY/67EETR�EEATyEEDD FIE <br /> bLD LOCATION a <br /> 17 <br /> Is <br /> CHEMICAL DATEI IME ACREAGEMNITS 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 U141T REENTRY PER ACRE - <br /> COMPLETED (CHECK APPLICABLE) OFMEASURE) <br /> 21 2e 23 24 ONE) 25 26 27 28 29 30 31 <br /> GR <br /> AIR ❑ ilk r <br /> DHFR❑ f`� OZ T CIT GA l <br /> C, GR <br /> U / �� 1M <br /> d T ❑ <br /> C-t�� OTHER "� LB OZ PT OT GA <br /> Cl/It AIRetf <br /> 3�C7 <br /> OTHER ❑❑ �` L OZ PT qT GA t <br /> Z I, AIR ❑ <br /> GR 3cxD <br /> OTHER❑ t LB OZ PT OT GA C� <br /> -7O OI HER r! 7 ( L OZ P CIT GA <br /> GR <br /> AIR <br /> OTHER[l LS DZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR <br /> AIR <br /> OTHER LS OZ PT OT GA <br /> GR ❑ <br /> AIR <br /> OTHER LB OZ PT QT GA7)) <br /> GR <br /> AIR <br /> CHER p LB OZ PT OT GA L;V� <br /> OR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR <br /> AIR Cl❑ y LOW <br /> �tio-ot`^'A��1i9= <br /> OTHER 0 LS OZ PT OT GA <br /> OR <br /> AIR [] <br /> OTHER❑ r LB OZ PT OT GA <br /> OR ❑ <br /> A1A [] <br /> CHER❑ - LB OZ PT OT GA <br /> REPORT PREPARED BY DATE REVIEWED BY <br /> FOR AGENCY USE ONLY <br /> I==n Distribution.; White cop - •- unty Agncuitu 'Commna <br /> issior; Pink COPY_ n -•Applicator, GOldenrod--Applicator <br />