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STATE OF CALIFORNIA PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT - <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PR-ENF-017C(REV.2/W) <br /> instructions: Submit the white UP y to the Agricultural Commissioner within 10 days of month following application. <br /> MONTH 1 YEAR 4 2 <br /> NURSERY 3 Page_01_ <br /> OPERATOR IDIPPEERMIT'NNUMM�BER OPEPA{T/OR(GROWER) / ADDRESS CITY ZIP CODE <br /> ] <br /> SITE IDENTIFICATION NUMBER TOTAL PL1)AACCREAGEIUNITS COUNTY NUMBER SECTION TOWNSHIP RANGE BASE 6 MERIDIAN <br /> 12 13 S 4 <1 S H <br /> COMMODITY/SITE TREATED <br /> FIELD LOCATION <br /> /J / <br /> 9 <br /> CHEMICAL OAT E ACREAOENNRS APP. BLOCK IO EPA OR STATE REGISTRATION NUMBER TOTAL PRODUCT USED GAYS RATE Olt TION PROD VCT AND MANUFACTURER <br /> IRCLE <br /> CODE NUMBER APPLICATION TREATED METHOD (IF (FROM"BEL) (COFMEONE UNrt REENTRY PER ACRE <br /> COMPLETED (CHECK APPLICABLE) OF MEABURE) <br /> ONE) <br /> 21 22 23 24 26 26 V 28 29 30 31 <br /> 2-22— ON <br /> 3 MR l - <br /> d 3S OTHER❑ Ip OZQ_�� -oI LB OZP"T. OT GA e2 �A L-� �T lw 1' <br /> OR <br /> AITHyL <br /> R w <br /> OER[ILB OZ PT OT GA $ l zLLLYVV> <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT Or GA <br /> 13 Q OR <br /> // 37 ,502 n <br /> OTHER❑ / /-��✓0y� / yB�� A/ L OZ PT OTT GA <br /> OR <br /> e, 1 r AIRD <br /> OTHER❑ / - /19' A)`+ —SS467 LB OZ /5-0 <br /> OT GA <br /> OR ❑ <br /> AR ❑ <br /> OTHER ❑ LS OZ PT OT GA <br /> GR ❑ <br /> NR ❑ <br /> OTHER ❑ LS OZ PT OT GA <br /> ORAIR <br /> ❑ <br /> OTHER LB OZ PT OT GA <br /> OR ❑ <br /> AIR <br /> OTHER LS OZ PT OT GA <br /> GR ❑ <br /> MR ❑ <br /> OTHER❑ LS OZ PT OT GA 'AT. <br /> OR <br /> 8 � <br /> AIR <br /> OTHER❑ LB OZ PT OT GA <br /> GA <br /> AIR <br /> OTHER L] LB OZ PT OT GA <br /> GR [❑I JftIY J���L1 `i L�. .:i7lY <br /> OVER❑ LB OZ PT OT GA <br /> OR <br /> AIR <br /> ❑ <br /> OTHER p LB CZ PT OT GA <br /> REPORT PREPARED BYl(/r�If l�L�l DATE —31'Z3 REVIEWED BY <br /> FOR AGENCY USE ONLY <br /> �cm ^ �'^butiur `^'hite co^�•--'•unh• u^rijult nl C,jmissionert Pink coo --DPR; C'nary--Ap p11 tor, ol�enmd--Applicator <br />