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APPLICATION - RESTRICTED MATERIALS /PERMIT - SUPPLEMENT PERMIT NO..J 1 �. <br />PAGE NOJ <br />r ^ // • { ..� l eJ � , . <br />LOCATION <br />SEC <br />TWN <br />RNG <br />MAP <br />ID <br />COMMODITY <br />ACRES/DILUTION/ <br />UNITS <br />PESTICIDES <br />PESTS <br />F' <br />M— <br />RATE <br />VOLUME <br />APPL <br />DATE/ <br />TIMING <br />7. <br />9. / t i r �i G}� <br />41e, , C <br />f <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 <br />"'Method: A—Air F --Fumigation Gr—Ground O—Other <br />DISTRIBUTION: WHITE & YELLOW - COUNTY AGRICULTURAL COMMISSIONER; PINK & GOLD - PERMITTEE <br />APPLICANT SIGNATURE � �� � DATE ---,7e // <br />ISSUED BY DATE <br />fSTATE OF CALIFORNIA <br />OSP OB 109802 DEPARTMENT OF PESTICIDE REGULATION <br />PR-ENF-125A (REV. 10107, Page 1 of 1 <br />