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APPLICATION -RESTRICTED MATERIALS -SUPPLEMENT PERMIT NO, <br /> lll j <br /> f� 1�— 2-o[[Q'4f7 PAGE NO <br /> •`MAP '_-�-r' ACRES/ DILUTION! DATE/ <br /> LOCATION SEC TWN RNG ID COMMODITY UNITS PESTICIDES PESTS F* M*" RATE VOLUME APPL TIMING <br /> 8. <br /> 9. <br /> 11. 'J <br /> 12. CA <br /> ` e) <br /> 13. <br /> 14. <br /> 15. <br /> 16. Q EX, <br /> 17. ,,� <br /> 18. �� Q 1 iU <br /> 19. <br /> 20. <br /> 21, <br /> 22. <br /> 23, <br /> 24. <br /> 25. <br /> 26. <br /> 27. <br /> 28. <br /> 29. <br /> i <br /> 30- <br /> 31. <br /> 32. <br /> 33. <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 BY DATEt <br /> DISTRIBUTION:WHITE&YELLOW-COUNTY;PINK&GOLD-PERMITTEE ENFORCEMENT BRANAR� -125A(Rev.9100) <br />