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APPLICATION - RESTRICTED MATERIALS - SUPPLLMEN1' <br /> PERMIT N0. <br /> k\ PAGE NO. <br /> LOCATION SEC TWN HNG MAP COMMODITY ANDES/ PESTICIDES PESTS F* M** RATE DILUTION/ADPL DATE/- <br /> D UNITS VOLUME TIMING <br /> I. <br /> 3. <br /> 4. <br /> 5. <br /> S. <br /> 3. <br /> 9. <br /> D. <br /> 1. <br /> 2. <br /> 3. <br /> 4. <br /> I <br /> 5. <br /> 6. <br /> 7. <br /> 8. <br /> 9. <br /> 0. <br /> 1. <br /> 2. <br /> 3. <br /> 4. 111 <br />*Formulation: L—Liquid B—Bait D—Dust F—Fumigant APPLICANT SIGNATURE // DATE <br /> G—Granules WP—Wettable Powder 0—Other !/tic" <br /> ! G <br /> ISSUED BX- wL DATE <br />*Method: A—Air F—Fumigation Gr—Ground O—Other <br /> PE l GIDE ENFORCEMENT FORM 33. 123A(REV. -BO) <br />