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i f I I I i i I i 1 i i I 1 i i i i I <br /> DEPASTATof CALIFORNIATOFPEPRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> OEPhfiTMENT OF PESTICIDE REGULATION <br /> PR-ENF41x(REV.21W <br /> CKI <br /> In <br /> lhstructions. Submit the white cQR to the Agricultural Commissioner within ?a clays of month following application. <br /> ID <br /> MONTH 1 YrWJ-4 — N <br /> m <br /> Cad <br /> L1 NURSERY 3 UT <br /> Page DI--� <br /> OPERATOH IEVPERAUr NUMBER GFIFRAATOA(`SGA/OfWERI ^ ADDRESS �V (yl�� CITY ZIP COLE <br /> 4 � ,17 6 g ~ <br /> 517E f6ENtli-rGAT N NUMBER TOIA1-PLANTED ACREAGFYUNM �IXUNTYNUMBER SECTIONTOWNSHIP PLANGE <br /> SASE d MEFLIDIAN <br /> 1D 12 13 t.l -7 w 15 S H <br /> S 1t 5 14 <br /> GO MkSO{]ITYI51 E TREATEDFIELD LOCATIGN LO <br /> 12 ctPLO N <br /> N <br /> CH YICAL DLATFITIME AGREAa ENHRS APP, BlDC1S I0 EPA OR STATE RFGISTIPAnON NUMBER TOTALFROD"CTUMD S RATE DILUTION PRODUCT AkO WANUFA TU R <br /> CODE NUMBER APFWAryDN TREATED MFTHap CO <br /> 'DNVLETED ILHECI( APPLICABLE} IfAOY LABELI OF>t ASURE)n REENTRY PFA ACRE <br /> LI22 23 24 DNEI 25 26 <br /> zl za ze 30 31 <br /> ALA r GR ¢yyy <br /> OTHER `1L oz P7 oT GA <br /> JUR <br /> OR <br /> arHER rD B pZ PT QT G <br /> AIR (L '�J1 <br /> LB PT OT GAJLIR <br /> OTHER❑ LB PT or GA. r� " I" l2 V �/ �• PAM� <br /> P <br /> Ln <br /> AJP D <br /> orxER D I LIS OZ PT QT GA Z <br /> C--) <br /> RC <br /> AIN ❑n C4 <br /> OTTER LJ _-_ 18 OZ PT QT GA 0 <br /> AIR G II <br /> OTHER ri 16 02 PT Qr GA Z <br /> GR <br /> n <br /> L2 73 <br /> AIR <br /> Dns R ❑ L8 OZ PT Or GA Z <br /> AR <br /> -- UTHEA L L$ 02 F`7 OT GAI _ <br /> Aqq 1 <br /> an eR LB az PT a? Gh I <br /> - Awk 11 <br /> — c,a F1— —y - LE OZ PT QT GA JUL41 2004 <br /> IVR L]i <br /> OTHER❑ Le OZ PT QT GA ��f���q ■■,, <br /> GR ❑ t+l1l�! 1 r w <br /> AIR f7 <br /> OTHER LR OZ PT OT GA B <br /> DR u m <br /> AIR UIIM R �] <br /> 1.9 OZ PT dT GA <br /> W <br /> REPORT PREPARED BY DATE REVIEWED BY <br /> 'DrmDistrrbution! White copy--CauntyAgnculturatCommissionar, Pink copy—DPH, Canary--Applicator, Ga)denrod--Applicator <br /> FOR AGENCY USE ONLY <br />