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APPLICATION - RESTRICTED MATERIALS PERMI - SUPPLEMENT PERMITNO. <br /> PAGE NO. <br /> MAP ACRES/ DILUTION/ DATE/ <br /> LOCATIO f SEC TWRING ID C MMODITY� UNIIT�tS PESTICIDES PETS F* M" RATE VOLUME tppL <br /> TIMING <br /> 12. �r ✓. _ ✓ e''5 <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 „ �, DATE <br /> WP—Wettable Powder O—Other <br /> APPLICANT SIGNATURE' <br /> "Method: A—Air F—Fumigation Gr—Ground O—Other ISSUED BY .� - r DATE y / <br /> STATE OF CALIFORNIA <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> DISTRIBUTION:WHITE&YELLOW•COUNTY AGRICULTURAL COMMISSIONER;PINK&GOLD-PERMITTEE @0 OSP 08 109802 PR-ENF-125A(REV.10107)Page 1 of 1 <br />