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71i ] ice) 771 <br /> STATE OF CALIFORNIA PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PR-ENF-017C(REV.2199) <br /> Instructions:' Submit the Wbitecco�nto the Agricultural Commissioner within 10 days of month following application. ,. <br /> MONTH 1 YEAR 2 <br /> I`1 NURSERY 3 Page!-of <br /> OPERATOR ID/PERMIT NUMBER OPERATOR(GROWER? ) ADDRESS �-�+ J� ] CVTY� f ZIP CODE <br /> [��] <br /> r 1 5 7 <br /> SITE IDENTIFICATION NUMBER TOTAL PLANTED ACREAGEIUNITS COUNTY NUMBER SECTION TOWNSHIP RANGE l BASE d MERIDkAt`I <br /> g / 10 a6 13 S 14 '•:✓ W 15 5 M? H <br /> COMMODITYISITE TREATED FIELR'`L�O'CATI{O�N� 7 <br /> itRW- -e. <br /> CHEMICAL DATEfnME ACREAGE/UNITS APP. BLOCK ID EPA OR STATE REGISTRATION NUMBER TOTALPRODUCT USED DAYS RATE DILUTION PRODUCT AND MANUFACTURER <br /> CODE NUMBER APPLICATION TREATED METHOD (IF (FROM LABEL) {CIRCLE ONE VNIT REENTRY PER ACRE <br /> COMPLETED (CHECK APPUCABLE} OF MEASURE) <br /> 21 22 -1/ 23 24 ONE) 25 26 27 2B 29 30 31 <br /> AIR Ll <br /> GR pm �] J �] `�J <br /> OTHER❑ `- F LB OZ QT GA <br /> GR 5 <br /> OITHER❑ C 7- LB OZ 0 QT GA 3 r)-r -- <br /> GI DITHER[❑] c ) 00LB O OT GA Su , 1 41 0t-- <br /> GR Q <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR (❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> GR ❑ <br /> ASR ❑ <br /> OTHER ❑ LB OZ PT CIT GA --- <br /> GR 0 <br /> AIR ❑ <br /> OTHER ❑ LB OZ PT QT GA y — <br /> ClGR <br /> ATR ` y2�}c- l� l ',�rl ; nn,. i•_ ��n <br /> OTHER LB OZ PT OT GA <br /> AIR <br /> OTHER❑ LB OZ PT QT GA ( A <br /> GR <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> AIR ❑ <br /> OTHER© LB OZ PT OT GAGR <br /> S �- <br /> GR ❑ <br /> AIR <br /> OTHER p LB OZ PT OT GA -r— <br /> GR <br /> AIR <br /> OTHER❑ LB,OZ PT QT GA <br /> GR ❑ <br /> AIA n <br /> OTHER Q LB OZ PT OT GA <br /> SPORT PREPARED BY ��qkklrrktvn / DATE�� REVIEWED BY <br /> FD Distribution: White ca County Agricultural Com issioner; Pin copy DPR; Canary--AppliC8t0C GOld911IroCt--ADh7!lCatOf FOR AGENCY USE ONLY <br />