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FNIA <br /> STATE �o PESTICIDE REGUL.ATIM PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> PH-ENF417C(REV.27B9M <br /> CSj <br /> Instructions: Submit the while colt to the Agricultarei Commissioner within to days of month fallowing applica>Itlon. <br /> A10 v04 cn <br /> MONTH 1 YEAR 2 1v <br /> m <br /> NLfRSEAY 3 C <br /> LTi <br /> OPERATORMIT NUMBER -- --_ - _ Peas,01�-- <br /> 4 3 9011 6 <br /> SITE IDENTIFICATION NUMBER TOTAL PLA?tTEDAGAEAGEJUNITS OOUNTYNU40ER SECTION T E <br /> TOWNSHIP RANGE eASE A MERICUR <br /> 10 T1 <br /> N <br /> COMVCDITVSITETRE.ATEE) FIELALPCA ON�12 1$ T4 E 15 & A{ H LL) <br /> 7 h <br /> 17 <br /> CHEMICAL ❑ATEITIIAE AC READ pP. BLCxIC IO EPA OR STATE RECidBlAA710X NUAIBEA TOTAL PRIOI7S11.'T USED LIAYB RA1fE N <br /> Oo0£kuYBEFI APPLICATION M (IF (FROIA LABEQ AFOouCT A,IIo FAC7URp{ N <br /> COWLETED (CKOK PLICA" OF UHff 1aEEM?fV MACM OD <br /> Rq ` <br /> 21 22 �UNEI 25 26 <br /> ZT 28 Z9 30 8T <br /> AJR Afv <br /> AIR <br /> OTHEzi A/W R OZ PT OT GA '« <br /> Cit <br /> AIR 0 <br /> OI HFPI <br /> LB OZ PT QT GA <br /> AIR ❑ <br /> © LB OZ PT OT GA <br /> [iR ❑ <br /> AIR [] <br /> OTHER LB OZ PT QT GA <br /> GA L] <br /> NR <br /> °11*R LS OZ PT OT GA z <br /> GA <br /> Ate( ❑ <br /> oTNLB OZ PT QT CA D <br /> AIR ❑ C <br /> OTHeR❑ LB OZ PT QT GA I._ ;—T _ 7 <br /> GR <br /> AIR p t7 <br /> OTHER LJ LB CZ PT QT GA C <br /> OR ❑ Z <br /> AIR L7 q (� < <br /> OTKER L�� LB GZ PT QT GA k [, 4 N05 <br /> aR L2 <br /> OTHER LB OZ PT OT GA <br /> �, ❑ A W Ll a n jN , � <br /> ad � NTY <br /> OTHER. <br /> C1 LB OZ PT OT GA AGRIC.��vm• <br /> QR ❑ <br /> NA �] <br /> OTHER❑ LB 02 PT CIT GA <br /> tw [� <br /> NR �] <br /> OTHER❑ -U <br /> LB OZ PT QT GA D <br /> GR ❑ m <br /> AIR <br /> OTHER LB OZ PT 07 GA <br /> CD <br /> ,/ A <br /> REPORT PREPARED BY DATE l r r�4 — REVfEWED BY CD <br /> FOT111 MstribUtion: White Copy-County Agricultural Commissioner, pink copy--DPR, Canary--Applicator, Golden rod--Applicelor FORAgp'ICYuse OMLY <br />