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JILL(C-8.87/lt-8.80 M-8.86 ID-9.1) User:Alpine Helicopter Service 9/18/201 12:21:23PM Version:6.1 <br /> STATE OF CALIFORNIA - ENVIRONMENTAL PROTECTION AGENCY <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PESTICIDE USE REPORT (33-025 Rev 3/90) PMIS 0033 <br /> Rec.#M06-APL-00914-2 <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 Flanted Area P.O. BOX 1405 { <br /> 39-06-39000461 1-8 32.00 ac WOODBRIDGE, CA 95258 <br /> Location Block ID 1-8 r 1 <br /> E/Jack Tone S/Moser Slough JJI <br /> Date/Time Applied Area Treated Commodity or Site Treated Crop ID <br /> Proposed:09/14/06 10:22 am Actual <br />' Actual: 09/14/06 11:00 am 32.00 ac Tomatoes 11005-0 <br /> Restricted Chemical Registration Number Total Formulated Rate Per Dilution <br /> Material Number Product and Manufacturer From Label Product Used ac Volume <br /> N 22340 Danitol 2.4 EC spray 59639-35-AA 2.50 10.00 10.00 <br /> Valent USA Corporation gal oz gal <br /> N 56980 Intrepid 2F(Dow) 62719-442-AA 2.00 8.00 10.00 <br /> Dow Agrosciences gal oz gal <br /> N 2110 Dithane F-45 Rainshield 62719-396-ZC 12.80 3.20 10.00 <br /> Dow Agrosciences gal pt gal <br /> SUFFER 10951-50041-AA 3.20 0.1.000 10.00 <br /> BRITZ pt pt gal <br /> N NU-COP 50DF 45002-0004-ZC-00000 64.00 2.00 10.00 r <br /> UNKNOWN Ib Ib gal ' 1 <br /> Days Reentry Days Preharvest Application Supervised By NW N NE J <br /> 48 hr 0 day Joel Dozhier <br /> r <br /> Environmental Changes/Comments + <br /> W E <br /> Target Area t , <br /> Submitted By: Date Time PCA Name SW S SE <br /> Joel Dozhier 9/18/200• 12:21 PM William Vignoio 8167 <br /> Received By: Box No. Date Time Approved <br /> Denied <br /> RECEIVED <br /> OCT 3 2006 <br /> SAN JOA00N COUNTY <br /> �AGR.COf.91VI.STOCi:1'ON <br /> D � Ev <br /> SES <br /> SA AGotiG C C'nfJ1 LOD <br /> f <br /> I <br />