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Tuesday, July 1, 2003 PMIS-0188B <br /> rev. 02/28/02 <br /> Pesticide Use Report <br /> Nursery County Section Township Range Base&Meridian Method Applicator Name&Address <br /> 0 39 24 01S 09E M Hawke Ag Aviation <br /> P.O. Box 1133 <br /> Permitee/Customer Operator ID/Permit# Site/D# Oakdale, CA 95361 <br /> SCHULTZ, VERN (s.j. 39-03-3903214 SCHULTZ 1-1 C Inv. #: 1016 <br /> _ Total Acres Planted Location Block/D(if applicable) <br /> 56.00 NW GROOMS &VICTORY <br /> Date& Time Applied Area Treated Commodity/Site Treated <br /> 6125/03 8:30 2.00 ac. Rice <br /> Product & <br /> Chemical# Manufacturer EPA Re .# TotalApplied Rate erAcre Dilution <br /> SUPER WHAM! CA 71085-00005-ZA-00000 20.00 PT 10.000 PT 15 <br /> MOR-ACT 02935-50098-AA-00000 2.00 PT 1.000 PT 15 <br /> 15 GALLON GROUND CHARG 2.00 GL 1.000GL 15 <br /> Hours Reentry Days Preharvest Application Supervised by. Steve Sperry <br /> 48 60round Rig <br /> Submitted by Date: Time: <br /> ROSALYN SPERRY 07/01/2003 11:39 pm <br /> Received by Box No Date Time <br /> submit to AGRICULTURAL COMMISSIONER within 7 days of application <br /> a <br /> � t <br /> i <br /> AGtrt 4- 4 6ia iei- <br />