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APPLICATION - RESTRICTED MATERIALS PERMIT- SUPPLEMENT PERMIT NO. c] <br /> PAGE N0. <br /> !� MAP 6� �9ACRES/ DILUTION/ DATE! <br /> LOCATION SEC TWN RNG ID COMMODITY UNITS PESTICIDES PESTS F* M** RATE VOLUME ADPL TIMING <br /> 9. <br /> 10. <br /> 11, <br /> 12, <br /> 13. <br /> 14. <br /> 15. <br /> 16. <br /> 17. <br /> 18. <br /> 19. <br /> 20. <br /> 21. <br /> 22- <br /> 23. <br /> 24. <br /> 25, <br /> 26. <br /> 27. <br /> 28. <br /> 29, <br /> 30- <br /> 31. <br /> *Formulation: L--Liquid 6--Bait D--Dust F--Fumigant G--Granules <br /> `NP--Wettable Powder O--Other APPLICANT SIGNATURE DATE <br /> 'Method: A--Air F--Fumigation Gr--Ground O--Other ISSUED BY DATE Os to <br /> STATE OF ALIFORNIA <br /> DEPARTMENTOFPESTICIDE REGULATION <br /> RIBUTION:WHITE&YELLOW-COUNTY AGRICULTURAL COMMISSIONER:PINK&GOLD-PERMITTEE @W OSP 08 109802 PR-EN F-125A(REV.10/07)Page 1 of 1 <br />