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ATE OF CALIFORNIA PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> �R-ENFO,]C(REV.2/D97 <br /> rat Commissioner within 10 days of month following application. <br /> Instructions: Submit the white conv to the Agricultu <br /> MONTH 1 YEAR 2 <br /> Page_of <br /> NURSERY 3 <br /> CITY ZIP CODE <br /> OPERATOR ID/PERMIT NUMBER OPERATOR(GROWER) <br /> ADDRESS B 17-937A <br /> 3 -03-390 4 5 l l�oru( �:l(; B 33�cx� <br /> SECTION TOWNSHIP RANGE <br /> ��// BASE 6 MERIDIAN <br /> AG <br /> SITE I DENIIFFIICAT,ON <br /> 1�NUMBE`R- - TOTAL PLANy/T�E D/!lG�REE/UNITS COUNTY NUMBER 11 3 12 �� 17 03 S 4 0(l ' E 15 S H <br /> y FIELD LOCATION <br /> COMMODITY/SITE TREATED �,>� lt>L <br /> 17 <br /> CHEMICAL 0 IME ALREAGENNRS APP. BLOCK 10 EPA OR STATE REGISTRATION NUMBER TOTALRLP�ONE UNIDUCT T DAYS RATE REENTRY PERALRE DILUTION PRODUCT AND MANUFACTURER <br /> ICODENUMEER APPLICATION TREATED METHOD (IF ROM AREy OFMEASURC <br /> COM PIETED (CHECK APPUCABLE) ,p 30 31 <br /> 21 22 23 240NE) 25 26 27 <br /> / lD 8h AR ❑ �jc� --.�LD LB OZ (P T OT GA; 1 -W <br /> U 4 <br /> OR ❑ <br /> MR ❑ <br /> OVER ❑ LB OZ PT OT GA <br /> GR ❑ <br /> MR <br /> ❑ <br /> OTHER ❑ LB OZ PT OT GA <br /> OR ❑ <br /> AR ❑ LB OZPT OT GA <br /> OTHER❑ <br /> OR ❑ <br /> AIR <br /> OTHER LS OZ PT OT GA <br /> OR 8AIR <br /> OVER ❑ LB DZ PT OT GA <br /> OR Cl <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> MR <br /> OTHER LB OZ PT OT GA <br /> OT <br /> GR ❑ <br /> AIRp <br /> OTHER❑ LB OZ PT OT GA f' . <br /> GRElMR 11 <br /> }? t <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ LB OZ PT OT GA <br /> OTHER❑ <br /> GR ® } yl. AVL1!`1141V L <br /> AIR ® <br /> OTHER LB OZ PT OT GA <br /> ❑ <br /> OR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> NR ❑ LS OZ PT OT GA <br /> OTHER ❑ <br /> �7p (� U REVIEWED BY <br /> REPORT PREPARED BY Ill, DATE FOR AGENCY USE ONLY <br /> -or - AbuC-- fit, Co M_AaricultU ICe,,T,,,cnar; Pink copy--DPR; Canary--Appli alar, "oldenmd--Applicstor <br /> J -- � � <br />