Laserfiche WebLink
;TATE OF CALIFORNIAPRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> 'R-ENF-OTIC(REV.21N) <br /> Instructions: Submit the white coo v to the Agricultural Commissioner within 90 days of month following application. <br /> 3�_ 0 3 <br /> NONTH , YEAR 2 <br /> NURSERY 3 Page_of <br /> DPERATOR IO/PERMIT NUMBEeR�� Ln{- OPERATOR(GROWER) IgrL` ADDRESS <br /> -03 - d� 5 " , W �( 6 �3 �) hlJ✓�F/C [LFP Bo�3 <br /> IP Ica <br /> SITE IDENTIFICATION NUMBER TOTAL PLAN 0 ACREAGE/UNITS COUNTY NUMBER SECTION <br /> TOWNSHIP l RANGEE,^}�/ BASE 6 MERIDIAN <br /> r313 Q S 4 VCO W i6 S H <br /> D 12 (Y�� <br /> FIELD LOCATION <br /> COMMODI N/SITE TREATED �{. ^ �] <br /> 10 AI W 'Lr I� &4," Y0 <br /> 1] <br /> CHEMICA ERIME ALREAOEAINRS APP. BLOCK ID EPA OR STATE REGISTRATION NUMBER TOTIRCLE OUOTUBEO DAYS MTE OILUTroM PRODUCT AND MANUFACTURER <br /> �O DE NUMBER AP LIGATION TREATED METHOD (IF (FROM LABEL) (LOFMEASURE) <br /> ONE UHR REEMRY PER ACRE <br /> COMPLETED (CHECK APPUCABLE) OF <br /> ONE) 27 28 <br /> 2D 30 37 <br /> 21 22 23 24 25 26 <br /> 07MR <br /> I d <br /> OTHER[I �� !�� L9 0Z PT O GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER ❑ LB. OZ PT OT GA <br /> OR ❑ <br /> MR <br /> OTHER ❑ LB OZ PT OT GA <br /> GRAIR <br /> ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR Cl <br /> OTHER❑ LS OZ PT OT GA <br /> OR ❑ <br /> E3OT <br /> OTHER ❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR <br /> OTHER p LS OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> 1■ OTHER ❑ LB 02 PT OT GA <br /> OR ❑ Q <br /> AR ❑ <br /> OTHER❑ LB OZ PT OT GA kol d1:7 �.N <br /> GR ❑ DEPT. OE AGR. —TRACY <br /> OTHER❑ LS OZ PT OT GA <br /> OR <br /> AIR <br /> OTHER❑ LB OZ PT OT GA <br /> OR <br /> MR <br /> OTHER❑ LS OZ PT OT GA <br /> OT <br /> GR BAIR <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> MR <br /> OTHER`p LS OZ PT OT GA <br /> REPORT PREPARED BY �A/1^ l It-f�-!'-�" DATE 03 REVIEWED BY <br /> '�'—��---- FOR AGENCY USE ONLY <br /> _ rm Distrib pion: White copy--CdunryAgricultural olnmissioner; Pinkcopy--DPR; Canary--Applicator, Godenrod--Applicator <br /> _,i <br />