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r �' <br />1 A/T, .!J f .•1""/ <-iY lZ of ..s <br />APPLICATION — RESTRICTED MATERIALS PERMIT — SUPPLEMENT <br />ti-- Gid 0 J -1u <br />PERMIT No. 3 <br />PAGE NO. <br />LOCATION <br />SEC <br />T1NN <br />RNG <br />MAP <br />ID <br />L <br />COMMODITY <br />ACRES/ <br />UNITS <br />PESTICIDES <br />PESTS <br />F- <br />M" <br />RATE <br />DILU710N1 <br />iOLUwIE <br />APPL <br />DATEi <br />TIMING <br />7. <br />g. <br />y/1tD��i,r1 Gsn� <br />10. <br />11. <br />X <br />12..Z <br />Ct7Y <br />13. <br />a?iU r LeJrt <br />14. <br />15. <br />17.uc�tt <br />r- <br />i <br />18. <br />19. <br />20.r <br />21- <br />i1l/n(. 1 Lur <br />22. <br />�o <br />24. <br />25. <br />+ `I <br />'. o✓!t tiM . <br />ltln'ftrl »n L. <br />27. <br />28. <br />29. { I �� 3'F --i 31— 2— 3S'3 <br />30, S" , 3 1-7 <br />31. 3_T_—IS1-- <br />'Formulation: L --Liquid B --Bait D—Dust F—Fumigant G—Granules <br />'.NP—Wettable Powder O—Other <br />"Method: A—Air F --Fumigation Gr—Ground O--011ier <br />DISTR15UTtOF1: `NHI7E & YFLLOVJ - COUNI-f AGRIOULTURAL COM USSIONER: PINK G GOLD - PERt,?rTTEE <br />APPLICANT SIGNATURE 1 ❑ATE <br />ISSUED BY //� 1 "', DATE <br />J / <br />STATE OF CALIFORNIA <br />' DEPARTMENT OF PESTICIDE REGULATION <br />OSP 08 100E02 <br />�- PR-ENF-125A (REFI. 10107) Pa,c i of I <br />