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I I I 1 1 1 i 1 1 i i I 1 11 1 I 1 1 I <br /> STATE OF CALIFORNIA <br /> DEPARTMENT OF PESTICIDE REGULATION PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> PR-ENF-017C(REV.2J99) <br /> Instructions: Submit the.white Mg to the Agricultural Commissioner within 10 days of month following application. <br /> 1W,4 ! <br /> MONTH I YEAR 2 <br /> NURSERY 3 <br /> Page of <br /> OPERATOR IDIPERMIT NUMBER OPERATOR(GROWER) ADDRESS CITY ZIP CODE <br /> 5 ��4e-tleAj 'D ir,/ s E. (,C�©£ +B�IA 7 Ac4vl B 9-s-a2 0 <br /> SITE IDENTIFICATION NUMBER TOTAL PLANTED ACREAGE/UNITS COUNTY NUMBER SECTION TOWNSHIPS RANGE BASE d MERIDIAN <br /> 9 r� — ,2- 10 40 11 3 112 3 1,13 ` 7 IS 14 z W ,5 S M H <br /> COMMODITYISITE TREATED FIELD LOCATION <br /> 117 t0inc G-yo-,ac-:5 10 GJCx).vB / /!fn7l GG'TG f0p <br /> CMEMICAL DATE/TIME A REAGEA)NI,S APP. BLOCK ID EPA OR STATE REGISTRATION NUMBER TOTAL PRODUCT USED DAYS RATE DILU7K)N PRODUCT AND NUFACTUgER <br /> CODE NUMBER APPLICATION TREATED METHOD (IF (FROM LABEL) (CIRCLE ONE UNIT REENTRY PER ACRE <br /> COMPLETED (CHECK APPLICABLE) OF MEASURE) <br /> 2i 22 23 24 ONE) 2 ZB 27 2B 29 36 131 <br /> y- <br /> 420 oiRi1ER❑ ��T12 7 •� t B RZ P QT GA - <br /> !!! OR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR A&VAIR <br /> V <br /> OTHER 44 0 OZ PT OT GA 4c� <br /> OR ❑ <br /> AIR ❑ <br /> OTHER ❑ LB OZ PT OT GA <br /> OR [J <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR <br /> AIR <br /> OTHER ❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER LB OZ PT OT GA <br /> OR [] <br /> AIR QOTHER[] LB OZ PT OT GA <br /> GR p <br /> NR L1 <br /> OTHER❑ LB OZ PT OT GA <br /> OR <br /> R ❑ 2001 <br /> OTHER❑ LS OZ PT OT GA �e�yf iRyt <br /> O IEP© LB OZ PT QT GA JOA <br /> COIJIVT <br /> OR ❑ y <br /> AIR AL1 <br /> OTHER❑ LB OZ PT QT GA <br /> OR SAIR <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> Zl�- X <br /> REPORT PREPARED BY_ DATE YT _ REVIEWED BY <br /> Oisii*�IgioFl: Lnfhits cop)+---%(vn4 i Agricultural Commissioner; Pink copy--DPR; FOR AGENCY USE ONLY <br />