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to <br />ft <br />on <br />JILL ( C-7.08 /R-7.08 /H-7.07 /D-2.3) User: HALEY FLYING SERVICE, INC. 7/13/04 9:19:19AM Version: 5.1 <br />STATE OF CALIFORNIA - ENVIRONMENTAL PROTECTION AGENCY <br />DEPARTMENT OF PESTICIDE REGULATION <br />PESTICIDE USE REPORT (33-025 Rev 3/90) PMIS 0033 <br />Rec.# M04 -APL -02927-1 <br />( ) Nursery <br />County <br />1 <br />Section <br />Township <br />Range <br />I <br />Base & Meridian <br />Method <br />Permitte / Customer <br />Applicator Name & Address <br />39 <br />5 <br />O1S <br />06E <br />M <br />A <br />DAN ROZA JR. <br />HFS Inc. <br />P.O. BOX 1049 <br />Operator Identification Number <br />Site Identification Number <br />Planted Area <br />39-04-3900396 <br />2-11 <br />38.00 ac <br />TRACY, CA 953_78-10.4.9_ <br />Location <br />Block ID ROZA 2-11-I <br />HOWARD & WING LEVEE * 04 <br />Date / Time Applied <br />Area Treated <br />Commodity or Site Treated <br />Crop ID <br />Proposed: 07/12/04 9:45 am <br />Actual <br />Actual: 07/12/04 10:45 am <br />38.00 ac <br />TOMATO PROCESS <br />29136-00 <br />Restricted <br />Chemical <br />Registration Number <br />Total Formulated <br />Rate Per <br />Dilution <br />Material <br />Number <br />Product and Manufacturer <br />From Label <br />Product Used <br />ac <br />Volume <br />N <br />22941 <br />ASANA XL INSECTICIDE <br />00352 -00515 -AA -00000 <br />2.85 <br />9.60 <br />10.00 <br />DU PONT <br />al <br />OZ <br />gal <br />N <br />2161 <br />DIMETHOATE 4EC <br />19713 -00231 -AA -00000 <br />4.75 <br />1.00 <br />10.00 <br />DREXEL <br />al <br />gal <br />CABRIO EG <br />07969 -00187 -AA -00000 <br />23.75 <br />10.00 <br />10.00 <br />BASF <br />lb <br />oz <br />gal <br />N <br />99006 <br />TRI -FOL BUFFER <br />02935 -50152 -AA <br />0.48 <br />1.60 <br />10.00 <br />Wilbur -Ellis Company <br />gal <br />oz <br />gal <br />Days Reentry <br />Days Preharvest <br />Application Supervised By <br />NW <br />N <br />NE <br />48 hr <br />7 day <br />Gary Del Carlo <br />Environmental Changes / Comments <br />E <br />W <br />Target Area <br />S1- <br />Submitted By: <br />Date <br />Time <br />PCA Name <br />SW <br />S <br />Denis Della Nina <br />07/13/04 <br />9:19AM <br />Don Giannecchini3627 <br />Received By: <br />Box No. <br />Date <br />Time <br />Approved <br />Denied <br />UL 1 6�200s,�i <br />AGR. COMM. TRACY <br />LE [yj <br />J U L 2 7 2004 <br />ACI. ir0 aita'i.-ST0CKT0N <br />