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I I 1 1 1 1 I i I I I I I I I I i i I <br /> STATE OFDEPARTMENT <br /> NTCALIFORNIA PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PR-ENF-017C(REV.2199) <br /> Instructions: Submit the white rgp to the Agricultural Commissioner within 10 days of month following application. <br /> MONTH 1 YEAR 2 <br /> NURSERY 3 <br /> Page DI <br /> OPERATOR ID/PERMIT NUMBER OPERATOR(GROWER) ADDRESS CITY ZIP CODE <br /> 4 3`1-op ` ���U 5 ��L7r+� n r' 6 [�',FEb f00a/6 ' ',? cJ� 7 71vU 1. � <br /> SITE IDENTIFICATION NUMBER <br /> TOTAL PLANTED ACREA�G�EJl7UNITS COUNTY NUMBER SECTION TOWNSHIP RANGE BASE a!MERIDIAN <br /> 9 110 '/ i► 11 � 112 13 S 14 W 15 S H <br /> COMMODITY/SITE TREATED FIELD LOCATION <br /> CHEMICAL DATERIME ACREAOEAINIT5 APP. BLOCK IO EPA OR STATE REGISTRATION NUMBER TOTAL PRODUCT USED DAYS RATE DILUTION PRODUCT AND MANUEACTURER <br /> CODE NUMBER APPLICATION TREATED METHOD (IF (FROM LABEL) (CIRCLE ONE UNIT REENTRY PER ACRE f <br /> COMPLETED (CHECK APPLICABLE) OF MEASURE) I <br /> 21 22 23 24 ONE) 25 26 27 28 29 30 31 <br /> b -7 <br /> �j GR <br /> AIR El <br /> OTHER❑ / •��� " !'1 LB PT OT GA -VI���L�lfra J c <br /> OR ❑ <br /> AIR 0 <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> GR ❑ <br /> AIR <br /> OTHER LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> NR ❑ <br /> OTHER ❑ LB OZ PT QT GA <br /> GR ❑ A <br /> NR ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> GR ❑ <br /> AIR <br /> OTHER LB OZ PT QT GA <br /> OR <br /> fllini <br /> AIA <br /> OTHER H L8 OZ PT QT GA <br /> GR El <br /> AIR ❑ - - <br /> OTHER❑ LS OZ PT QT GA W <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR gAR <br /> OTHER❑ LB OZ PT OT GA <br /> OR <br /> AIR <br /> OTHER©t I LB OZ PT QT GA <br /> GR ❑ <br /> ❑ <br /> OTHER <br /> AIR ❑ LB OZ PT OT GA <br /> IabRT PREPARED 8Y�^ <br /> Al <br /> DATE � � �0 REVIEWED BY <br /> I.)E`�%Ifl(1I.lFlni'1: Ei <br />