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APPLICATION - RESTRICTED MATERIALS PERMIT - SUIPPLEMENT <br />�,..� vr <br />LOCATION SEC TWN RN G MDP ACRES/ <br />COMMODITY UNITS <br />7. ` T i PESTIGIDES PESTS <br />9. n <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—Granufes <br />WP --Wettable Powder O—Other <br />""Method: A—Air F—Fumigation Gr—Ground O—Other <br />APPLICANT SIGNATI <br />ISSUED <br />PERMIT NO. ,-7q <br />PAGE NO. <br />F" M*„ RATE DILUTION/ DATE/ <br />VOLUME APP TIMING <br />DISTRIBUTION: COUNTY AGRICULTURAL COMMISSIONER: PERMITTEE I DATE <br />DEPARTMENT OF PESTICIDE REGULATION <br />PR-ENF-125A (REV. 10107) Page 1 & I Pn1'lf FOiip <br />