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JILL(C-8.87/R-8.80 IH-8.86/D-9.1) User:Alpine Helicopter Service 9/25/20, 10:56:15AM Version:6.1 <br /> STATE OF CALIFORNIA - ENVIRONMENTAL PROTECTION AGENCY <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PESTICIDE USE REPORT (33-025 Rev 3190) PMIS 0033 <br /> Rec.#M06-APL-00943-1 <br /> ( ) Nursery <br /> County Section Township Range Base&Meridian Method Permitte/Customer Applicator Name&Address <br /> 39 30 3N 8E M A J&J Farming, LLC. ALPINE HELICOPTER SERVICE, IN( <br /> Operator Identification Number Site Identification Number Planted Area P.O.BOX 1405 <br /> 39-06-39000461 1-9 20.00 ac WOODBRIDGE, CA 95258 <br /> Location Block ID 1-9 2006 r <br /> 2006 E/Jack Tone Road S/Mosher Slough <br /> Date/Time Applied Area Treated Commodity or Site Treated Crop ID <br /> Proposed:09/18/06 8:00 am Actual <br /> Actual: 09/18/06 8:45 am 19.00 ac Beans Dried 15001-00 <br /> Restricted Chemical Registration Number Total Formulated Rate Per Dilution <br /> Material Number Product and Manufacturer From Label Product Used ac Volume {i <br /> WARRIOR with Zeon 00100-01112-AA-00000 0.57 3.84 10.00 JJI <br /> Syngenta Crop Protection Inc. gal oz gal <br /> N 2160 Dimethoate 4EC 19713-231-AA 1.78 12.00 10.00 <br /> Drexel Chemicals Co. gal oz gal <br /> Days Reentry Days Preharvest Application Supervised By NW N NE <br /> 48 hr 21 .day STEPHEN BRUNSKILL <br /> Environmental Changes/Comments <br /> W E <br /> Target Area <br /> Submitted By: Date Time PCA Name SW S SE <br /> Joel Dozhier 91251200• 10:56 AM William Vignolo 8167 <br /> Received By: Box No. Date Time Approved <br /> Denied <br /> I <br /> V�04 <br /> SEP <br /> SAN`lO1GaG11�M0°14V <br /> ASR � <br /> I <br /> III <br />