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S � <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> •STATE OF CALIFORNIA PESTICIDE ENFORCENENT BRANCH <br /> PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT:MULTIPLE SECTION o N° O 6 7 7 6 3 <br /> PR.ENF-184(EST. 1"l) _ Sc-n _t CTC-.Q L�I� Pt6 <br /> SEE INSTRUCTIONS ON THE REVERSE OF THIS FORM (�/�[v �} �g 4g� 3 �} Co 9 <br /> 1.MONTH 2.YEAR 7.GOUNTYNO. <br /> PC,64�c � � i f s'AF1g�,oAQutE" 6s��% <br /> ,Tw1� aDoq 37 Lp�;, Gl 7 AGRIC.v €°:•1 3 i <br /> . TomIco�5 <br /> S.OPERATOR <br /> -ID3PERMIT BOPERATOR 7.ADDRESS [.CITY O.ZIP CODE <br /> 4 CpLMOCITYSETE TREATED <br /> Jf� so <br /> QOK .5r,5- -1 icrnn �'b g�7 <br /> 10, 11. 12. 18. 14. u. 1B. n. Ti 19. FPFI <br /> 2r. 22. 27. 2s. <br /> SECTION TOWNSHIP RANGE BASE SITE DATE ANO TIME TOTAL TOTAL APP. EPAICAUF.REG.NO.fROM LABEL RATE DILUTIONDAYS MANUFACTURERI NAME OF PRODUCT <br /> µDIDENTIFICATION APPLICATION PLANTED TREATED METHOD PER ACRE REENTRY <br /> MERIDAN NUMBER COMPLETED ACRES ACRES (CHECK +TJ/ GR ❑7r 2 7 AIR /�y� ri0OTHER ❑ 70FIO -00001-iff�~U.tT'CMA <br /> !3:311 <br /> No OR 0 <br /> T AIR <br /> ,30 6- IS 6 W H OTHER ❑ [� �� rS�ao©3� LBnZ�Tn OT GA '�� 1� ��I c />f F/1 <br /> O © S ® r[[�+[ ,�y AIR "et I <br /> OR ❑ �7 /�/�� /1��� !71 !v'.0 I I I 1 1/ Gro 30 � S �W H i J R• I (D O OTHER ❑ /08,0'�L��'L./Q -,pf) o LB&T OT GA tw �� u IF STI <br /> d /d s � I f /t d J OR ° 7 <br /> 0 S Lj W H OTHER Cl /_!�`r� 3�.�. .'.7� �- LB®PT OT GA U L�C7 <br /> / S /� i/� '�L -7°� AIR GR ❑ C^C7 or.v +� <br /> rX I S5 © i W H® i o c- 1`, / J 7 ! / 0 HER ❑ /a0!l.`••0 -� >• -' L6 PT OT GA C.r �r <br /> Q' r / ! t� AIR ❑ 36 <br /> ® S H Mac~1 4 t J OTHER ❑ JA.S _{ �'�4`L� YI �O LB PT OT GA ' OZ `/ ! G GC-J''� 7-h <br /> �I <br /> N E B M OR ❑ L-G <br /> AIR ❑ <br /> S W H OTHER ❑ LB OZ PT OT GA <br /> N E S M GR ❑ <br /> AIR ❑ <br /> B W H OTHER ❑ LS OZ PT OT GA <br /> N E S M GR Q <br /> AIR ❑ <br /> S W R OTHER ❑ LB OZ PT OT GA <br /> N E S M OR ❑ <br /> AIR ❑ <br /> s W H OTHER 11L6 OZ PT O,T/GA <br /> REPORT PREPARED BY J 0 n/� v G'� ]DATE �� /T REVIEWED BY �RACE11C1 119E ONLY <br />