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r I I r 1 I I I r I r r I I I 1 r r I r <br /> STATE OF CALIFORNIA PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PR-ENF-01IC(REV.2/99) <br /> Instructions: Submit the white copy to the Agricultural Commissioner within 10 days of month following application. <br /> I?une 16oS <br /> MONTH 1 YEAR 2 <br /> NURSERY 3 <br /> T NUMBER <br /> OPERATOR IOD/0-5-3 Y 5 VI✓OPERATOR �G�4 �� ADDRESS CITY <br /> q4 C. Lame Tree- Pd. ?ITYOgk p/e ZIP CODE <br /> SITES IDENTIFICATION NUMBER TOTAL PANTED ACREAGE/UNITS COUNTY LNn/UMBER) SECTION TOWNSHIP RANGE j`��, BASE B MERIDIAN <br /> 9 `-1 10 56 11 31 12 �y 13 O{ W4 0y r'A� 15 M H <br /> COMMODITY(R/SITE TREATED FIELD LOCATION <br /> 11 MJJ 19 IVV Oroams a„j Vic / <br /> /} <br /> CHEMICAL OATEFUME ACREAGENNITS APP. BLOCK IO EPA OR STATE REGISTRATION NUMBER TOTAL PRODUCT USED DAYS RATE PER DILUTION PRODUCT AND MANUFACTURER <br /> CODE NUMBER APPLICATION TREATED METHOD BF (FROM LABEL) (CIRCLE ONE UNIT REENTRY ACRE <br /> COMPLETED (CHECK APPLICABLE) OF MEASURE) <br /> 21 22 23 24 ONE) 25 26 27 28 29 30 31 <br /> 463 Z� OTHER o ( )-71`l ' 35� LB OZ P3T DT 0h <br /> C1 "I o N r 5c eh�e5 <br /> OTA I G r <br /> 1 d OR /� 7 <br /> /6/03 'r2a(/ <br /> AIR <br /> �rr-�OR A �71—ry3�19/"I B OZ�1/PT OT GA 56r� C <br /> OTEl <br /> HER ❑ 3✓2 - ✓oL LB O PT OT GA Lcjax ah1— <br /> Oft ❑ <br /> AIR ❑ <br /> OTHER ❑ LB PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER ❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER ❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER ❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER ❑ LB OZ PT OT GA <br /> �y �,,mPs•.� ❑❑❑ <br /> o R❑ LB OZ PT OT GA <br /> GR, 4 ❑ <br /> 1 y olv AI1 ❑ <br /> a OT)IER ❑ LB OZ PT OT GA <br /> A.b EER ❑ <br /> AIR" ❑ <br /> d�. „f.❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER ❑ LB OZ PT DT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER ❑ LB OZ PT OT GA <br /> REPORT PREPARED BY DATE REVIEWED BY <br /> Form Distribution. White copy--County Agricultural Commissioner, Pink copy–DPR; Canary--Applicator; Goldenrod--Applicator FOR AGENCY USE ONLY <br />