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r r r r I I I I I r I r I I I I r r r <br /> STATE OF CALIFORNIA <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> j"%J•��i <br /> -70 Ota <br /> MONTH / YEAR 2 <br /> NURSERY 3 <br /> Abp Page—of— <br /> OPERATORID,PERMIT NO. OPER R (GROWER) ADDRESS CITY ZIP CODE / <br /> 4 '; !L -- -�1, L� - s .C/7r� � Jl`- s 'aQ J JLC' � .-?!7' <br /> BRE ID NO. TO PLANTEDACREAGE/UNITR COUNTY NO. CTN)N TOWNSHAHIP RANGE BASE Bt MERIDIAN <br /> g /^ 1310 O 11 ✓ 12 -� 13 C� 14 �� w 1s B H <br /> COMMODITYY SITE TREATED FIELD LOCATION <br /> 17 .�.1 .+�7M1ili 19 <br /> CHEMICAL DATE/TIME ACREAGE/UNITS APP. a.CK ID EPA/CANF.RE0.NO. FROM LABEL TOTAL DAYS RATE DIRTON PRODUCT/MANUFACTREIR <br /> NUMBER APPLICATION TREATED METH. (IF PRODUCT USED REBMRY PER ACRE <br /> COMPLETED ICHECK APPLICABLE) IGRCLE ONE UNIT <br /> OF <br /> MEASURE)21 22 23 24 NO 2S 26 27 26 29 30 31 <br /> OR <br /> )y / <br /> AIR <br /> HER❑ ..-3 LB 02 PT A Cl f /J`L - <br /> GR <br /> Ol AIR <br /> O HER❑ / l�O • (1FL7 ��/P� E if> LB PT OT GA !/J/ <br /> GR <br /> .J L-,- -CA �y / ✓� AIR ❑ '�yy��a > t[' ' <br /> AOTHER❑ LB OZ T/O / <br /> ,e GR AIR 11 ry /' 1'dSp j •� <br /> t �U OTHER❑ ('2 -J C3 L�-?�4�.- LB 02 OT GA (• �/ A�: ^G <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LS OZ PT OT GA <br /> OR <br /> 11AIR ❑ <br /> OTHER 11 LB OZ PT OT GA <br /> GR ❑ <br /> AIR Cl <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> F <br /> LB OZ PT OT GA <br /> LS OZ PT OT GA <br /> LS OZ PT OT GAGR 11 <br /> AIR LB 02 Pr OTLE'�GR El <br /> LB D2 PT OT GA A" R7Z009 <br /> OR ❑ <br /> AIR 0 <br /> t1 Cpl �; a(? <br /> OTHER❑ LB OZ PT OT GA •+ , L � :� ,51,I's..#)AS <br /> GR ElAIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> REPORT PREPARED BY �7 /�iie�'+'! DATEREVIEWED BY <br /> Submit to Agricultural co Issioner within 10 days of month following application PR-E IF017C (Rev 1195) For Agency Use Only <br /> F1) CAC <br />