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STATE OF ,n'IFORNIA PRODUCTION AGRICULTUR(..rONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> Submit to the Agricultural Commissioner within 10 days of the month following application. <br /> Field: 13-4 <br /> 61212 2= 04-01-2013 to 04-30-2013 <br /> Month Year <br /> Nursery City <br /> Operator ID/Permit No Operator(Grower) Address ma Zip Code <br /> 39-13-3901377 Van Gronin an&Sona 15100 S Jack Tone Rd Manteca CA 95336 <br /> Site Identification# Total Planted Acres County Section Township Range Base&Meridian <br /> 13-4 58 39 San Joe uin 18 01 ❑ N X S no E ❑w ❑ s M ❑ li <br /> Commodity/Crop/Sile Treated 1 0 0 1 1 0 Field Location <br /> FALLOW GROUND E JACKTONEIN FRENCH CAMP <br /> Chemica Date!Time Area Application Block ID EPA or State Registration# Product Reentry Application ate Dilution Product and Manufacturer <br /> I Code Completed Treated Method (From Label) <br /> Number <br /> 04!0312013 10.00 Ground 20.00 2.00 Oz I 20 1 SHARK EW <br /> 0000 Acres Air ❑ 00279-03242-AA-00000 Ounces 12 Hrs Treated Ac Gallons FMC <br /> Other <br /> 04103/2013 10.00 Ground 10.00 1.00 Pt/ 20 WILLOWOOD OXY <br /> 2 EC <br /> Air ❑ 87290-00008-AA-00000 Pints Errs <br /> Treated Ac Gallons WILLOWOOD <br /> 0000 Acres Other <br /> 04/03 2013 10.00 Ground 60.006e l Pts/ 20 GLY STAR ORIGINAL <br /> Air ❑ 42750-00060-AA-00000 pints Treated Ac Gallons ALBAUGH <br /> 0000 Acres other <br /> 04/03 2013 10.00 Grand 8.00 4.00 Pts/100 20 HERBICIDE ACTIVATOR <br /> AU ❑ 1050775-50020-AA-000 pints Gal Gallons CMR <br /> 0000 Acres Other <br /> 041032013 10.00 Ground 34704 50034•AA-00000 4.00 2.00 Pts/100 20 ACTIVATOR 90 SURFACTANT <br /> 0000 Acres Air ❑ Pints Gal Gallons LOVELAND <br /> Other <br /> <a>Nof Specified <br /> CEI V I <br /> MAY 6 20';3 <br /> •�77 <br /> Reviewed By <br /> Report Prepared By <br /> 71J2o' Date 05-03-2013 For Agency Use Only <br /> Copyrighl01984-2013,COMB Inc. Page 1 05/03/2013 <br />