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I 1 i l ( 1 ! 1 1 1 1 1 1 1 1 1 1 1 i <br /> STATE OF CALIFORNIA <br /> DEPARTMENT OF PESTICIDE REGULAT1(]N PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> PR-ENF-017C{REV.2199) <br /> Instructions: Submit the.while coov to the Agricultural Commissioner within iA days of month following application. <br /> MONTH 1 YEAR 2 <br /> u NURSERY 3 <br /> Page—Of <br /> OPERATOR IDJPERMIT NUMBER OPERATOR(GROWER) ADDRESS CITY ZIP CODE <br /> 4 ��- 7 '. �7'D1t'/;� e "� tif cr1 6 �4DC! c . b)vC 8P(D(..- Pry 7 P<4k Z0 B 195A.ZO <br /> SITE IDENTIRCATION NUMBER TOTAL PLANTED ACREAGEJUNITS COUNTY NUMBER SECTION TOWNSHIP RANGE BASE&MERIDIAN <br /> /� � C- <br /> 9 <br /> 110 �G 11 -47 112 � 113 / 5 14 W 15 5 M H <br /> COMMODITY/SITE TREATED FIELD LOCATION <br /> `y <br /> 17 i`f�Y'� 7 18 <br /> CHEMICAL OATFJTIME ACREAtWJUNITS APP. BLOCX ID EPA OR STATE REGISTRATION NUMBER TOTAL PRODUCT USED DAYS RATE DILUTION PRODUCT AND MANUFACTURER <br /> CODE NUMBER APPLICATION TREATED METHOD (IF (FROM LABEL) (CIRCLE ONE UNIT REENTRY PER ACRE <br /> COMPLETED (CHEC% APPUCABLE) OF MEASURE) <br /> 21 22 123 24 ONE) 25 26 27 28 29 3U 31 <br /> GRAIR <br /> 7 OTHER❑ I �6 r 4-1 / LB OZ OT GA i f r 7IQL C'", <br /> GR <br /> AIR ❑ _ <br /> _2 OTHER❑ 3�5-[j -/.1 OZ PT OT GA t 71` �• L <br /> GR F 1 <br /> AIR Cf' f� <br /> b (� OTHER❑ " 2 �- LB OZ PT OT GA Y AAoo p le- <br /> 11 <br /> ORAIR <br /> �C) <br /> OTHER ' ��f LB a PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> NR ❑ <br /> OTHER❑ LS OZ PT OT GA <br /> GR q <br /> AIR d <br /> OTHER❑ LB OZ PT OT GA <br /> OR L <br /> AIR <br /> OTHER❑ LB OZ PT OT GA <br /> GH ❑ i'h ''.i - <br /> AIR <br /> OTHER H LB OZ PT OT GA 11, 0 2,01 , <br /> GR ❑ <br /> AIR [} <br /> OTHER[] LS OZ PT OT GA I <br /> GA <br /> AIR <br /> o <br /> OTHER❑ LB OZ PT OT GA <br /> GR <br /> AIR <br /> OTHER❑ LS OZ YT OT GA <br /> AI S <br /> uR <br /> OTHER l7 LB OZ PT OT GA <br /> GR ❑ <br /> AIR 0 <br /> OTHER❑ LB OZ PT OT GA <br /> REPORT PREPARED BY_ L�- DATE- / REVIEWED BY <br /> 0i tv0- liC117 141hilo C7p',—(:Cltmty Agriculft-IMZl Ca?Y1f11'YH33ioner; Pink copy--DPR; FOR AGENCY USE ONLY <br />