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APPLICATION - RESTRICTED MATERIALS -SUPPLEMENT <br /> /yr/�/� �jy�q/s� PERMIT NO, / <br /> - �¢ � �/� �'-_ `��+ PAGE NO. <br /> MAP ACRES/ DILUTION/ DATE/ <br /> LOCATION SEC TWIN RNG ID COMM DI UNITS PESTICIDES PESTS F* M** RATE VOLUME APPL TIMING �' <br /> 8. / L <br /> 9. <br /> 10. <br /> 11. <br /> 12. <br /> 13. ' l� <br /> 14. <br /> 15. ~.� � <br /> 16. <br /> r <br /> 17. L! <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 /> 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--Othervo �( <br /> ISSUED BY Jt yJ DATE <br /> DISTRIBUTION:WHITE&YELLOW-COUNTY;PINK&GOLD-PERMITTEE ENFORCEMENT BRANCH PR-ENF-125A(Rev.9/00) <br />