Laserfiche WebLink
STATE Of CALIFORNIA <br /> DEPARTMENT OF PESTICIDE REGULATION PRODUCTION AGRICULTURE )MONTHLY PESTICIDE USE REPORT <br /> PR-ENF-O17C(REV.2198) <br /> Instructions: Submit the white cony to the Agricultural Commissioner within ip days of month following application. <br /> MONTH 1 YEAR <br /> =- NURSERY 3 <br /> Page�of <br /> OPERATOR tD1PERMIT NUMBER OPERATOR(GROWER) ADDRESS CITY ZIP CODE <br /> a S 14 to Ro m YV 6 7 /-0 8 <br /> SITF OENTIFI ATION NUMBER TOTAL PLANTED ACRE GEIUNITS jCOUNTYNUmeER SECT ON TOWNSHIP RANGE ISASE 3 MERIDIAN <br /> 9 �10 11 12 113 S 14 W 15 S M' H <br /> COMMODITYISITE TREATED FIELD LOCATION <br /> 17 C 19 <br /> CHEM AL DA ME--' ACREAGEAINIT$ APP. BLOCK ID EPA OR STATE REGISTRATION NUMBER TOTAL PRODUCT USED DAYS FWTE 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 24 ONE) 25 26 27 328 29 30 31 <br /> AIR <br /> or-4-1OTHER© -� �r �a L OZ P OT GA <br /> liz <br /> GIR Cl <br /> OTRRHEp L.5i y 5—–{ �M AA OZ PCI GA �. CC t <br /> GR <br /> Z� AIR ❑ t /� t i <br /> OTHER❑ OZ PT OT GA ` <br /> OR <br /> d� AIR ;4© <br /> oTNER L Z PT OT 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 OT GA <br /> GR ❑ <br /> AIR <br /> OTHER ❑ LB OZ PT OT GA <br /> GR ❑ <br /> AFR <br /> OTHER <br /> LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> AfR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> KA Cl <br /> OTHER❑ LB OZ PT OT GA <br /> OR Cl <br /> MR Q <br /> OTHER❑ LB qZ PT OT GA <br /> GR 0 <br /> AIR ❑ <br /> OTHER ❑ LIB OZ PT OT GA <br /> \REPORT PREPARED BY .i DATE 7REVIEWED BY <br /> Form Distribution; )PIhit®copy County AgriculturAl C,"issioner; Pink p anary--Applicator, Golden rod--Applicator FOR AGENCYUBEONLY <br />