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PERMIT ADDITION FOR E.P.A.SECTION 18 MATERIAL <br /> APPLICATION — RESTRICTED MATERIALS— SUPPLEMENT PERMIT NO2o'tJ <br /> /��(/2 O . <br /> PERMITTEE: ` /RR PAGE NO. <br /> LOCATION SEC TWN pNG M9P COMMODITY U�RTSf PEStICIQES PESTS <br /> Lt <br /> el 7-T �9R fa <br /> -- -- — TOTAL MATERIAL: <br /> TOTAL ACRES: <br /> DEALER: <br /> — --- � — SECTION 18 NUMBER: �� y <br /> EXPIRATION DATE: <br /> --— -- - _ -- - E OF INTENT SHALL BE SUBMITTED AT LEAST 24 HO <br /> ANOTIRS <br /> C <br /> PRIOR TO APPLICATION. A USE REPORT SHALL BE SUBMITTED <br /> WITHIN 7 DAYS FOLLOWING COMPLETION OF APPLICATION. <br /> THE SECTION 18 MUST BE IN THE POSSESSION OF THE USER AT <br /> THE TIME OF PESTICIDE APPLICATION. <br /> APPLICANT SIGNATURE c"` L� `/ DATE Z <br /> ISSUED BY DATE <br /> D15rAiHUTION W1+IYE 6 rELLOW-COUNTY PINK S GOLD•PERMITTEE <br /> DISTRICT PESTIGDE ENFORCEMENT FORM 33-125A((5/62) <br /> 7i 11.l1 7q <br />