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APPLICATION - RESTRICTED MATERIALS PERMIT - SUPPLEMENT PERMITNa-TICC-) I�,w <br /> fAPAGE NO. <br /> MAP ACRES/ DILUTION/ DATE/ <br /> LOCATION SEC TWN RNG ID COMMODITY UNITS PESTICIDES NESTS F` M"` RATE VOLUME APPL TIMING <br /> 7. <br /> 8. <br /> 9. i k,>� tLl t—i k u P, <br /> 10. . <br /> 11. <br /> 12. <br /> 13. <br /> 14. <br /> 15. <br /> 16. <br /> 17. <br /> 18. <br /> 19. <br /> 20. <br /> 21. <br /> 22. <br /> 23. <br /> 24. <br /> 25. <br /> 26. <br /> 27. <br /> 28. <br /> 29. <br /> 30. <br /> 31. <br /> *Formulation: L—Liquid B—Bait D—Dust F--Fumigant G—Granules <br /> WP—Wettable Powder O—Other APPLICANT SIGNATURE DATE <br /> "Method: A--Air F—Fumigation Gr—Ground O—Other ISSUED B i DATE 14.1 Z— <br /> STATE OF CALIFORNIA <br /> DISTRIBUTION:WHITE&YELLOW-COUNTY AGRICULTURAL COMMISSIONER;PINK&GOLD-PERMITTEE OSP,08 109802 DEPARTMENT 12 PESTICIDE REGULATION <br /> PR-ENF- 5A(REV.10/07)Page 1 of 1 <br />