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7-1I <br /> STATE OF CALIFORNIA PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION - <br /> PR-Ef,�-017C(REV.MID) <br /> Instructions: Submit the white copy to the Agricultural Commissioner within 10 days of month following application. <br /> MONTH 1 Y R 2 <br /> NURSERY 3 <br /> Page-of <br /> OPERATOR IDIPERMIT NUMBER OPERATOR(GROWER) ADDRESS f CITY ��'}''��--�� JBAS'IF <br /> CODE <br /> 4 r 5 8 �� 7 W SIT DE TIFICATION NUMBER TOTAL PANTED ACREAGEIUNI COUNTY NUMBE SECTION TOWNSHIP RANGE &MERIDIAN <br /> 91q12 �da 14 S H <br /> COMMODITY/SITE <br /> �TREATED FIELD LOCATION ' <br /> 17 co 19 �V \+ <br /> CHEMICAL OATLfTIME ACREAGEIUNITS APP. BLOCK ID EPA OR STATE REGISTRATION NUMBER TOTAL PRODUCT USED DAYS RATE PER DILUr1ON PRODUCT AND MANUFACTURER <br /> CODE NUMBER APPLICATION TREATED METHOD (IF - (FROM LABEL} (CIRCLE ONE UNIT REENTRY ACRE <br /> COMPLETED (CHECK APPLICABLE) OF MEASURE) <br /> 21 22 23 24 NE) 25 26 <br /> 27 28 29 30 31 <br /> 7 j AIR OTHER 0 3 LBOZ P GAst--3 T � �� <br /> AIR in-❑ `, t,� ,3V� f l. <br /> Z2C OTHER ❑ LB OZ PT Q7 GA { <br /> GRE] 5(00 <br /> r\\ <br /> *'1 l <br /> AIR ❑ �� \-] ` <br /> 7t3� b OTHER ❑ LH PT QT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER ❑ LB OZ PT QT GA <br /> GR ❑ <br /> AIR <br /> OTHER[] LB OZ PT QT GA <br /> GR [] <br /> AIR Cl <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER © LB OZ PT OT GA <br /> GR ❑ <br /> AIR <br /> ❑ <br /> OTHER❑ LB OZ PT OT GAGR <br /> AIR ❑ p y \Y, N_ I <br /> OTHER ❑ LB OZ PT QT GA tF'Y <br /> GR ❑ <br /> AIR ❑ U . <br /> OTHER ❑ LS OZ PT QT GA cw R. <br /> GR ❑ h�� �J <br /> OI7 ER❑ LB OZ PT OT GA f' Q NT i <br /> OTHER❑ LB OZ PT QT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER ❑ LH OZ PT QT GA <br /> GR [] <br /> AIR ❑ <br /> J� OTHER [] LB OZ PT PT GA <br /> j REPORT PREPARED BY DATE 0 REVIEWED BY <br /> Form Distribution; White co Count A rice tura)Commissioner; Pink copy DPR; Cana A icator; Goldenrod A. licator FOR AGENCY USE ONLY <br /> PY-- Y 9 PY-- Canary-- PP PP <br />