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-771 7 <br /> STATE OF CALIFORNIA PRODUCTION AGRICULTURE MONTHLY <br /> PESTICIDE REPORT <br /> DEPAi4TMENTOF PESTICIDE REGULATION <br /> RR-ES•'F-017C(REV.2199) <br /> Instructions: Submit the white copy to the Agricultural Commissioner within 10 days of month following application, <br /> / 18 Zoo <br /> MONTH r 1 YEAR 2 <br /> NURSERY 3 Page-of <br /> OPERATOR IDIPERMIT NUMBER OPERATOR(GROWER) CITY Z7IPCODE4 .� J �ADORESS <br /> 6 C W �C�I�G <br /> SITE IDENTIFICATION UMBER TOTAL PANTED ACREAGEIUN TS COUNTY NUMBER SECTION TOWNSHIP RANGE BASE&MERIDIAN <br /> F` <br /> 9 1 10 11 12 13 S 14 15 S M H <br /> COMMODITYISITE TREATED FIELD LOCATION` <br /> 17 (S E�S 19 V� `Y\-\� <br /> CHEMICAL OATEfHME ACREAGEfUNIT5 APP. BLOCK ID EPA OR STATE REGISTRATICN NUMBER TOTAL PRODUCT USED DAYS RATE PER DIL07IGN PRODUCT AND MANUFACTURER <br /> COOP NUMBER APPLICATION TREATED METHOD (IF {FROM LABEL) {CIRCLE ONE UNIT REENTRY ACRE <br /> COMPLETED (CHECK APPLICAB4E) OF MEASURE) <br /> 21 22 23 24 ONE) 2526 27 28 29 30 31 <br /> �Z <br /> GR OOIR ER ❑❑ 3 7 3 OZ PT QT GA l� y <br /> Z4 DITHER ` F�Q GAAIR C- <br /> r <br /> OTHER[] OZ PT QT' GA <br /> GR ` CV I� <br /> JAIR t 3 <br /> ��� L-o l.J OTHER ❑❑ \ � OZ PT QT GA <br /> S/ GR <br /> Z OITHEj <br /> t OZPPTT/OT GAAIR <br /> zC) OTHEOZ PT QT GAGR <br /> AIR ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> GR ❑ <br /> AIR ❑ <br /> 07HER ❑ LB OZ PT QT GA <br /> AIRGR C1 <br /> ❑ �} Vie:. 1,11 4{'�y' I j <br /> OTHER d LB OZ PT OT GA <br /> GR ❑ ,. <br /> OTHER[❑] LB OZ PT OT GA 1�1 <br /> w s, <br /> GR ❑ <br /> AIR Cl <br /> OTHER ❑ LB OZ PT OT GA <br /> GR ❑ p�g gg� g iI <br /> AIROTHER E] LB OZ PT OT GA A IC,Cu�}'WA. , LODI <br /> OR ❑ <br /> AIR <br /> OTHER Q i'-3 OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> DT [] LB OZ PT OT GA <br /> 111d /M4 <br /> REPORT PREPARED BYDATE REVIEWED BY <br /> FOR AGENCY USE ONLY <br /> Form Distribution: White copy--Count, A ricultural Comr ' Sioner, Pink copy--DPR; Canary--Applicator; Goldenrod--Applicator <br />