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'_'i"l 1 1 i i" iy"r".l I`� .� ....] I,-- 7 I�y`�7 I�s;� -3 1 7 <br /> 771 ( rCALIFORNIA PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PR-ENF-017C(REV.2/99) <br /> Instructions: Submit the white_ copy to the Agricultural Commissioner within 90 days of month following application. <br /> `�L` __ <br /> MONTH 1 1 YEAR 2 <br /> NURSERY 3 <br /> Page_of <br /> OPERAT�OORRR ID/PERMIT NUMBER ,7�-py OPERATOR(GROWER) ADDRESS CITY '/}��J� ZIP CODE <br /> QM,Pi 17 '96aqa <br /> SITE IDENTIFICATION1 NUMBER TOTAL PANTED ACREAGEIUNITS COUNTY NUMBER SECTION TOWNSHIP RANGE EASE&MERIDIAN <br /> 9 Y ~1 1p <br /> 112 13 14 15 W 15 S M H <br /> COMMODITY/SITE TREATED FIELD LOCATION <br /> 17 PP�ffs L419 . ,1 <br /> CHEMICAL UATEITIMEACREAGFIUNITS APP. BLOCK ID EPA OR STATE REGISTRATION NUMBER TOTAL PRODUCT USE DAYS RATE PER DILUTION PRODUCT AND MANUFACTURER <br /> CODE NUMBER APPLICATION TREATED METHOD (IF (FROM LABEL} (CIRCLE ONE UNIT REENTRY ACRE <br /> COMPLETED (CHECA APPLICABLE) ,OF MEASURE) <br /> 21 22 23 24 ONE) 25 26 27 26 29 30 r3l <br /> OR <br /> /�/1YU! ✓L <br /> OTHER.aT�� LB Z PT QT <br /> GA <br /> J W OTHER 0: r�,` rte-- LB Z PT GA 1( CCJ U \.l ..IJ�632 <br /> AIRC��~^' ✓��L u <br /> OR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT QT CA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER 0 LB OZ PT QT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER E] LB CZ PT QT GA <br /> OR i] <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIRElOTHER Q LB OZ PT QT GA <br /> OR ❑ <br /> AIR Q <br /> OTHER ❑ LB OZ PT OT GA I <br /> AIR o <br /> OTHER❑ LB OZ PT OT GA `;-«,u' <br /> AUGf 7/T(T/� "4 <br /> GR ❑ t-t UJ CU -1. L U U`} 1aset'^ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT DT GA <br /> OR ❑ <br /> AIR Q <br /> OTHER ❑ LB OZ PT QT GA reop���ppgg ,��wm,��,MM <br /> OR p LLA d'4 ,tl�•r:.dl8� 47. <br /> AIR ❑ <br /> OTHER LB OZ PT QT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER ❑ LB OZ PT QT GA <br /> REPORT PREPARED PY DATE REVIEWED BY <br /> Count Agricultural Commissioner; Pink co DPR; Cana Applicator; Goldenrod--A licator FOR AGENCY USE ONLY <br /> Form Distribution: White copy-- Y S PY Canary-- PP-- PP <br />