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^7 "��"] f7l 77 <br /> `� !-71 41 <br /> STATE OF CAL PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PR-ENF-0170(REV.2189) <br /> Instructions: Submit the whffg cop�(to the Agricultural Commissioner within 10 days of month following application. <br /> (�\yz�,ty M© <br /> MONTH 1 YEAR 2 <br /> NURSERY 3 Page 01�. <br /> 67PERAT RR IDIPERMIT NUMBER OPERATOR(GROWER) ADDRESS CITY ZIPCODE <br /> ON 0 <br /> SITE IDENTIFICATION NUMBER TOTAL PLANTED ACREA !UNITS COUNTY NUMBER SECTION TOWNSHIP RANGEjjBA!ZSE MERI6IAN <br /> r�c <br /> 9 <br /> 110 11 12 13 S 14 5 S M H <br /> COMMODITY/SITE TREATED17 PIELD LOCATION <br /> CHEMICAL DATEMME ACREAOE/UNTTS APP. BIACK 10 EPA OR STAVE REGISTRATION NUMBER TOTAL PRODUCT USED DAYS PATE DILUTION PRODUCT AND MANUFACTURER <br /> CODENUMBER APPLICATION 'TREATED METHOD (IF (FROM LABEL) (CIRCLE ONE UNIT REENTRY PFAACRE <br /> COMPLETED (CHECK APPLICABLE) OFMEASURE) <br /> ONE) 27 2B 29 3D 31 <br /> 21 22 123 24 25 2fi r <br /> OR <br /> AIR <br /> OTHER❑ a93 S-' --A(A OZ P7 QT GA l <br /> J� [3 <br /> C/ zo OTHER <br /> HER❑ ��._ `t. L OZ PT Q7 OA <br /> GR <br /> AIR OTHER❑ �\ (� V T GA6-119 OR [1 i (If C� ` �` � <br /> r L <br /> AIR Cl C- <br /> OTHER❑ L OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER❑ _ LB OZ PT OT GA <br /> OR ❑ x. *•Y <br /> AIR ❑ t <br /> OTHER ❑ 1_13 OZ PT OT GA <br /> OR <br /> AIR ❑ �T <br /> OTHER❑ LB OZ PT QT GA 1'1 )S.OR <br /> Ll <br /> OTHER LB OZ PT QT GAAIR <br /> OR <br /> AIR <br /> OTHERGA <br /> ❑ LB OZ PT QT <br /> OR <br /> AIR ❑ r �` 4GL�r:. ....dd& <br /> OTHER❑ LB OZ PT QT GA y;n; <br /> OR <br /> AIR ' <br /> OTHER❑ LB OZ PT QT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER[] LB OZ PT QT GA <br /> OR SAIR <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> f AIR [] <br /> j THER Q LB OZ PT G <br /> REPO 'f PREPARED BY DATE rZ REVIEWED BY <br /> • ` ' Canary—App II to f" Idenrod--A licator FORAGE�NCYUSEONLY <br /> Form Dlstnbution. White copy--County Agdc Tal mmissioner; Pink copy--DPR; Can ry App PP <br />