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,.EMUNUMM <br /> Friday, June 4, 2004 <br /> Pesticide Use Report 0'1,128i02 <br /> Nursery Count#KNnW7'aG0RR0r0%000'FMS <br /> Township Range Base&Meridian Method Applicator Name&Address <br /> ❑ 01S 09E M Ground Hawke Ag Aviation <br /> P.O. Box 1133 <br /> Permitee/Custotor ID/Permit# S/te ID# Oakdale, CA 95361 <br /> SCHULTZ, VER9-04-3903214 SCHULTZ 1-1 C Inv. #: 1561A <br /> Total Acres PlanBlock/D(i/applicable) <br /> 56.00 &VICTORY <br /> Date& Time Applied AreaTreatedCommodity/Site Treated <br /> 06/03/2004 10:00 1.50 ac. Rice <br /> Product <br /> Chemical# Manufacturer EPA Re .# Total ADDlied Rate erAcre Dilution <br /> SUPER WHAM! CA 71085-00005-ZA-00000 15.00 PT 10.000 PT 15 <br /> I MOR-ACT 02935-50098-AA-00000 1.50 PT 1.000 PT 15 <br /> 15 GALLON GROUND CHARG 1.50 GL 1.000GL 15 <br /> Hours Reentry Days Preharvest Application Supervised by: Steve Sperry <br /> 48 60 Ground Rig <br /> Submitted by Date:.. Time: <br /> ROSALYN SPERRY 06/04/2004 10:02 am <br /> Received by Box No Date Time <br /> submit to AGRICULTURAL COMMISSIONER within 7 days of application <br /> l9�flu <br />