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DISTRIBUTION:ORIGINAL —COUNTY State of California <br /> IST COPY —APPLICATOR ICATUR DEPARTMENT OF FOOD AND AGRICULTURE <br /> 2ND COPY—STATE INFORMATION SERVICES BRANCH � _ 1� <br /> _ MONTHLY SUMMARY PESTICIDE USE REPORT DATE SUBMITTED <br /> OPERATOR (FIR,A NAME) COUNTY (WHERE APPLIED) COUNTY NO MaHiH/Vn FUSE NAME OF PERSON RESPONSIBLE FOR REPORT <br /> ADDRESS CITY —r-- zIP cooE SUBMIT ORIGINAL AND SECOND COPY TO THE <br /> �vc%r—' ��—�� /• �'/ 9��� COUNTY AGRICULTURAL COMMISSIONER <br /> PHONE NUMBERLICENSE NUMBER ., RESTRICTED MATERIAL PERMIT NOTOTAL NO. OF BY THE 10th OF THE MONTH FOLLOWING <br /> v-/ �i 3�����/ �� p� APPLICATIONS THE APPLICATIONS. <br /> — COMPLETE COLUMNS A, B, C AND D FOR ALL USES — / USE DEFINITIONS <br /> IF USE IS: CODE IF USE IS: STRUCTURAL PEST CONTROL—any pest control work performed within or on <br /> buildings and other structures. This Includes work done by a licensed <br /> —STRUCTURAL PEST CONTROL.............. 1 —COMMODITY FUMIGATION structural pest control operator. <br /> —LANDSCAPE MAINTENANCE.................. 3 —SPOT TREATMENT LANDSCAPE MAINTENANCE—any pest control work performed on landscape <br /> —RIGHT-OF-WAY........................................ 4 —SEED TREATMENT plantings around residences, or other buildings, golf courses, parks, school <br /> —PUBLIC HEALTH PEST CONTROL....... 5 —OTHER (AS PERMITTED BY grounds, cemeteries, etc. <br /> —VERTEBRATE PEST CONTROL ............ 8 THE COUNTY AG. COMM.) RIGHT-OF-WAY — any pest control work performed along or on roadsides, <br /> —REGULATORY PEST CONTROL............ 10 power lines, ditch banks and similar sites. <br /> TH EN: THEN: PUBLIC HEALTH PEST CONTROL—any pest control work performed by or under <br /> • ENTER CODE IN COLUMN E • LEAVE COLUMN E BLANK contract with State or local public health or vector control agencies. <br /> • LEAVE COLUMNS F 8 G BLANK • FILL IN COLUMNS F 8 G REGULATORY PEST CONTROL — any pest control work performed by public <br /> employees or contractors in the control of regulated pests. <br /> A B C D E F G <br /> MANUFACTURER AND REGISTRATION NUMBER FROM LABEL TOTAL PRODUCT USED NUMBER OF CODE COMMODITY OR SITE ACRES/UNITS <br /> NAME OF PRODUCT APPLIED INCLUDE ALPHA CODE (Circle One Unit of Measure)APPLICATIONS TREATED TREATED <br /> !c%��� , l✓ 3 `Jc��� `l`7 <br /> LB OZ PT QT <br /> z .� v•��- , fir.�.0 --� �t - %`S f <br /> �E�L� L B O Z P T Q T 1�g L y I <br /> 3 — — — <br /> LB OZ PT QT GA <br /> 4 — — — <br /> LB OZ PT QT GA <br /> 5 <br /> LB OZ PT QT GA <br /> QJECEIVIEr. l. <br /> LB OZ PT QT GA p� <br /> 16 <br /> 7 LB OZ PT QT GA JAN 10 iqo5 <br /> 8 $AN JOAQUIN COUNTY, <br /> LB OZ PT QT GA D_&PL <br /> 9 <br /> LB OZ PT QT GA <br /> 10 <br /> LB OZ PT QT GA <br /> 39-060 (REV.6/88) <br /> 93 esozs <br />