Laserfiche WebLink
��� <br /> STATE CALIF <br /> DEPARTMENT OF PESTICIDE REGULATION ORNIA PRODUCTION-AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> PR-ENF-01X(REV.2199) <br /> Ins uctions:..Submit the white coov to the Agricultural commissioner within 1Q days of month.following application, <br /> MONTH , YEAR Z <br /> l J NURSERY 3 page_0! <br /> OPERATOR IO/PERMIT NUMBER `f L4 OPERATOR(GROWER) ADDRESS n e, CITY ZIP COpSD--z >y� <br /> r\ 17 is <br /> SITE IDENTIFICATION NUMBER TOTAL P-LANTED ACREAGE1UNtTS COUNTY NUMBER "SIML;I ION TOWNSHIP RANGE BASE d MERIDIAN <br /> g ^� <br /> 110 1, 112 13 14 <br /> COMMOD)TYISITE TREATED FIELD LOCATION <br /> zoesv, <br /> CHEM1 DATEM114E ACRFAGE/UNRS 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 UNIT REENTRY PER ACRE <br /> COMPLETED (CHECK APPLICABLE) OFMEASURE) <br /> 21 22 23 24 ONE) 25 26 27 28 29 130 31 <br /> OR <br /> OTHER p+ �C l "vl OZ PT QT GA <br /> ~ MR 6 <br /> OTHER❑ l* B OZ PT QT GA <br /> 41so a OVER❑ 47 4 S! ,qS—A 1"' PT QT GA [Sc t <br /> OR ❑ <br /> AIR <br /> OTHER LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER❑ _ LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER ❑ LH OZ PT QT GA <br /> GR ❑ <br /> AIR ❑❑ m <br /> ,�, <br /> OTHER LB OZ PT OT GA � 1 <br /> GR El <br /> AIR 111 <br /> OTHER ❑ LB OZ PT OT GA 341 <br /> AI ❑ <br /> OTHER p LB OZ PT QT GA <br /> OR <br /> AIR ❑ 4., . .. <br /> OTHER❑ LB OZ PT Q7 GAOR <br /> A0`°I <br /> ❑ '' „�, L uy;yam <br /> AIR ,�g'ii k. .' •rlhii <br /> OTHER L] LB OZ PT OT GA �,f:'b • <br /> OR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR <br /> PJ <br /> AJR <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> NR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> AD <br /> P RT PREPARED BY DATE REVIEWED BY <br /> Fo Distribution: White cop -County Agriculture)Commissio er- Pink Co --D R; Canary--Applicator, Goldenrod--Applicator FOR AGENCY USE ONLY <br />