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STATE OF CALIFORNIA PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PR ENF-017C(REV.2/00) - <br /> Instructions: Submit the white cop v to the Agricultural Commissioner within 10 days of month following application. <br /> MONTH 1 YEAR 2 - <br /> NURSERY 3 <br /> Pege'_of <br /> OPERATOR IO/PERMIT NUMBER OPERATOR(GROWER) ADDRESS CITY ZIP CODE <br /> 5kce <br /> SITE IDENTIFICATION NUMBER TOTAL PLANTED CREAGE/UNITS COUNTY NUMBER SECTION TOWNSHIP RANGE BASE&MERIDIAN <br /> B !��^"' R '� 10 JF � 11 `) % 12 �z 13 �� N �4 e) W115 5 H <br /> COMMODITY/SITE TREATED FIELDLOCATION/ <br /> 19 1^_l-' _-'.-Pr'-o ca� <br /> CHEMICAL ICATEITIME ACREAGEA)NITS APP, BLOCK ID EPA OR STATE REGISTRATION NUMBER TOTALPRODUCTUSED DAYS RATE DILUTjOX PRODUCT AND MANUFACTURER <br /> 1ENVMBER APPLICATION TREATED METHOD (IF (FROM ABEQ (CIRCLE ONE UNIT REEK RY pEA ACRE <br /> COMPLETED (CHECK APPLIDABLE) OF MEASURE) <br /> 21 22 23 24 ONE) 25 26 i— 27 28 29 30 31 <br /> MR <br /> o- <br /> OTHER L) ALBNZ PT OT GA <br /> OR 13 <br /> MR ❑ <br /> OTHER ❑ LB OZ PT OT GA <br /> OR Cl <br /> MR ❑ <br /> OTHER ❑ LB OZ PT OT GA <br /> OR ❑ <br /> MR <br /> OTHER❑ LB OZ PT OT GA <br /> OR 0 <br /> MR <br /> OTHER <br /> LB OZ PT OT GA <br /> OR ❑ <br /> MR ❑ <br /> OTHER ❑ LS OZ PT OT GA <br /> OR ❑ <br /> MR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR ] <br /> AIR <br /> OTHER LS OZ PT OT GA <br /> OR <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> MR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> MR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> MR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR <br /> MR <br /> OTHER❑ LB OZ PT OT GA <br /> OR 0 <br /> MR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> REPORT PREPARED BY DATE ��'/ 1/L I REVIEWED BY <br /> o, P,,.-no C'^^^ .ApFR�ar I GD Lfcn lig FOR AGENCY USE ONLY <br /> - co 37 �1r, �d--A^^ torr— <br />