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I r I I I 1 ! �r <br /> STATE OF CALIFORNIA PRODUCTION AGRICULTUHt I bNfHL4 rESAn.rJE.G�cR rwRTl I ! <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PR-ENF-0I7Q(REV.W") <br /> instructions: Submit the whit'eacon�v�o the Agricultural commissioner within 10 days of month following application. <br /> MO TN H /I i YEAR . <br /> NURSERY 3 Page of <br /> OPERATOR GROWER) ADDRESS CITY _� ; ZI CODE <br /> OPERATORID/PERMITNUMRER I ( C <br /> 45, <br /> B <br /> 6TOWNSHIP ANGE ASEA MERIDIAN <br /> SITE IDENTIFICATION NUMBER TOTAL PLANTED A�C.ROE <br /> EA /UNITS COUNTY NUMBER SECTION <br /> {J` /� N E <br /> } Ilk, 11 12 � 13 74 15 5 M H <br /> B , r7 � 10 <br /> FIELD LOCATION 1 q �\� /� <br /> COMMODITY/SIT-{EI�TR�E^-ATTED <br /> 4019 <br /> 11 DAYS RATE <br /> CHEMICAL DATEtNME ACREAGE/HNRS APP. BLOCK ID EPA OR STATEREGISTRATION <br /> ILA LABEL) <br /> HUMBER T0(CIRCE ONE UNIT REENTRY PER ACRE DILUTION PRODUCT ANO MAHUFACTUfl <br /> EIR <br /> CODE NUMBER APPLICATION TREATED METHOD (IF ( OFMEASURE) <br /> COMPLETED (CHECK APPLICABLE) <br /> 24OME) 26 26 9 20 28 30 31 <br /> 21 22 23 <br /> l�M Tom' Iy /� NR ❑ <br /> ' li ,e J �Al`�aTHER 1 I. ��L./ LB Z PT OT GA O <br /> OR <br /> Am <br /> OTHER❑ LB OZ PT OT GAOR Q <br /> T <br /> AIR ❑ T <br /> OTHER ❑ LD OZ PT OT GA <br /> on ❑ <br /> AR ❑ <br /> OTHER ❑ LB OZ PT OT OA <br /> OR Cl <br /> MR <br /> OTHER® LB OZ PT OT GA <br /> OR ❑ 4 <br /> AIR ❑ <br /> OTHER ❑ LB OZ PT OT GA -' <br /> Bfl ❑ <br /> AIR OVER p LB OZ PT OT GA <br /> DR <br /> OVER ❑ LB OZ PT OT GA <br /> DRMR °❑ �. , I•,� 01999 <br /> OTHER❑ LB OZ PT DT GAAIRU <br /> I'- <br /> OR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR <br /> AIR 8 <br /> OVER❑ LB OZ PT OT GA <br /> am <br /> AIR <br /> OTHER p LB OZ PT OT GA <br /> AR ❑ <br /> \/ OTHER LB OZ PT OT GA <br /> REPORT PREPARED BY 'I I GIt r 1 °'" L^- DATE - REVIEWED BY <br /> Form Distribution: White copy--County Agricultural Commissioner; Pbk copy--DPR; Canary--ApplicBIG 4G.1d, and--A plicetor <br /> FOR AGENCY USE ONLY <br />