Laserfiche WebLink
I(/Ygy'ATEOFCALIFORES PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> 1 LEP NF-017 T OF .2100)PESTICIDE REGULATION <br /> 444 <br /> PR -GNC(REV.LBB) <br /> Ins uctlons: Submit Immy to the Agricultural Commissioner within 10 days of month following application. <br /> V <br /> N 1 YEAR 2 <br /> NURSERY 3 <br /> Page of <br /> O^P'E�RA�TOR ID/PERMIT�NjUMBER r OPERATOR(GROWER) / ADD E 9 C //( /n/ CITY` 21P ODE <br /> 4f✓� �IC / C5V LSI B n [ l.' TIUC./' ! '� TL�I/V ��C/V <br /> SITE IDENTIFICATION NUMBER C• TOTAL PPLLAANTED ACREAGVUNITS COUNTY NUMBER SECTION/ TOWNSHIP /'( RANGE BASE B MERIDIAN <br /> 0 <br /> Zzl 10 ` 11 12 / 13 V ,� /V 5 14-1 _) W 15 S M H <br /> COMMOD TY/SIT TREATED FIELD LOCATION / /� <br /> 17 1B C� E �t ` bfkp ._ <br /> CHEMICALDATE/TIME ACREAGENNITS APP, BLOCK ID EPA OR STATE REGISTRATION NUMBER TOTAL PRODUCT USED DAYS RATE DILUTION PRODUCT AND MANUFACTURER <br /> MOE NUMBER APPLICATION TREATED METHOD (IF (FROM LIBEL) (CIROLEONEUNR REENTRY PERACRE <br /> COMPLETED (CHECK APPLICABLE) OF MEASURE) <br /> 21 22 23 24oNE) 25 26 Z7 28 29 30 31 <br /> /Ly/ _ U 7 J GR <br /> /o �� / J�� �ll `f OTHER❑ J ` L PT OT OA <br /> MR 13 <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> NR ❑ <br /> ^ OTHER❑ LB OZ PT OT GA <br /> ) (�'��t`�(l v,`�l� LB Z Pi OT OA <br /> OR40' <br /> NA <br /> OTHER <br /> OR ❑ <br /> AIR <br /> OTHER LB OZ PT OT GA <br /> OR <br /> MR 8 <br /> MR <br /> OTHER❑ LB OZ PT OT OA <br /> Dq ❑ <br /> AIR ❑ <br /> OTHER 0 LB OZ PT OT /{CA <br /> OR 0 <br /> OTHER LIIY ��)fGAI <br /> H <br /> OR <br /> OTHER❑ P O p a .4 <br /> OR ❑ 4� NY.m ka <br /> Nq ❑ Q <br /> OTHER❑ LB O F'MRGFI <br /> S X AO 0 M.e I DO Irl. <br /> AIR <br /> OTHER E) LB�O PT OF GA �w OR <br /> LB OZ PT OT GA <br /> LB OZ PT OT GA <br /> / LB PT OT OA <br /> /�REPORT PREPARED `� REVIEWED BY <br /> Form Distribution, Whiteommissioner; Pink copy-DPR; Canary--Applic r; Gol GIHon- Apprr.:,tnr FOR AGENCY USE ONLY <br />