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JILL(C-6.11/R-6.10/Ii-5.01/U-?3) User:HALEY FLYjNG SERVICE.I1VC,03!75!2003 3;23:27PN1 Versioh:4.3 <br /> STATE OF CALIFORNIA - ENMONNIENTAL PROTECTION AGENCY <br /> DEPARTMENT Or PESTICIDE REGULATION <br /> PESTICIDE VSE REPORT (33-025 Rev 3/90) PMIS 0033 <br /> Rcc.#M03-APL-01194-1 <br /> t ) Nursery. <br /> County. Section I ToWnship' t <br /> gc Ease&Meridian Method Permittc/Customer <br /> 39 4 02S E Applicator Name&Address <br /> M A B&B ARN.4UD0 HF'S . <br /> Operator Identification Number Site Identification Numbcr Planted Area P.O..B Inc.c. 1049 <br /> 39-03=3902007 ALL-1 140.00 ac TRACY. CA 95378-1049 <br /> Location. ' $lock IDARNAUD0 E ALL.-J <br /> ALL NON=CROP 'LOCATIONS VARIOUS'k 03 <br /> Date/Time Applied Area Treated Cothmodi or Site Treated <br /> Proposed;03/25103 : Crop ID <br /> 6:1 <br /> p Sam Ac <br /> - teal <br /> Actual_ 03/25/03. 6:50 am 50,00 ac UNCUL NON-AG <br /> 57000=00 <br /> Restricted Chemical <br /> Registration Number Total <br /> Forma <br /> fated <br /> late Per <br /> Dilution <br /> Matnon <br /> Material Number Product and Manufacturer <br /> Frorn Label Product Used ac Volume <br /> N I 8553 GLY'STAR ORi <br /> C 1N.4L <br /> 427M-M60- <br /> ALBA <br /> z7sa ooa6aAA-00000 12.50.. 1.00 10.00 <br /> ALeRUGH <br /> Y 19730... GOAL al t aI <br /> 707-i 74.4A-00000 1.17 .3.00 10.00 <br /> ROHM AND i3MS <br /> N 99000 AD WE 1' al 0z gal ' <br /> 07001-505.16-AA-00000 1.25 3.20 10,00 <br /> 1.R SIM?LOT <br /> N 99900 AMMONIUM SULPHATE al OZ al <br /> 00000 000 50.00 1.00 10.00 <br /> Unl'nown . <br /> lb lb gal . <br /> Days Reentry pays Preharvest fE <br /> Application Supervised By NW <br /> Until 0 day Gary D Carlo N- <br /> - $nvirou ncntal Changes/Counneuts <br /> W <br /> Target Area <br /> Subraitied By: Date Tule PCA Name SW. s <br /> Denis Della Nina 03/25/03 1:23PNI Phi.11i Romena 4107 SE <br /> Received$y: Sox No.' Date - Time Approved <br /> Denied <br /> Y. <br /> 90 39bd AiNrOZ) NInOVO~ Nl7S 6009TE8 6G:91 b00i;/6Z/Z9 <br />