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I . I f I I I I I I I I I I I I I I I <br /> _ATEOFCALIFORNIA PRODUCTIOM AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> -PA <br /> gTMENT OF PESTICIDE REGULATION <br /> i-ENF-017C(REV.2199) <br /> rstructions: Submit the white cooto the Agricultural Commissioner within 10 days of month following application. <br /> ��1.Li/l�tiyL �O U <br /> )NTH 1 YEAR 2 <br /> NURSERY 3 <br /> Page_of <br /> IERATOR ID/PERMIT NUMBEROPERA (GROWER) ADDRESS CITY ZIP CODE <br /> 3 -ns - 3g0/offz 5 6// ion s �-,�c�fToi��i2d , B9s36L <br /> FE IDENTIFICATION NUMBER TO PANTED A <br /> yC <br /> �jREAGE/UNITS COUNTY NUMBER SECTION TOWNSH/IPI N RANGE {� BASE A MERIDIAN <br /> tD /(J 11 J 12 / 13 V � 14 d 0 W 15 3 H <br /> )MMODITY/ ITE TREATED FIELD LOCATIO - n <br /> CHEMICAL DATERIME .ACREAGEAHUTS APP. BLOCKK) EPA OR STATE REGISTRATION NUMBER TOTALPMOUCT USED DAYS RATE DILUTION PRODUCT AND MANUFACTURER <br /> )DE NUMBER APPLICATION TREATED METHOD (IF (FROM LABEL) (CIRCLE ONE UNIT REENTRY PERACRE <br /> COMPLETED (CHECK APPGCABLE) OF MEASUNE) <br /> I 22 23 24 ONE) 25 26 27 28 29 30 31 <br /> J MR i� <br /> OR /✓✓'V/✓�✓-�� <br /> /�'�TT �l <br /> OTHER❑ 5p� — 7,5' LS (J <br /> O LS OZ PT GA /4 P O <br /> OTHER❑ ! LB OZ OT GA <br /> 4s-3 I <br /> ORMR <br /> ..�✓_ <br /> OTHER❑ 72 - Son 3 -A LB/OZ T OT GA <br /> OR ❑ <br /> NR <br /> OTHER LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR <br /> NR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> MR ❑ <br /> Nfl ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> NR p <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR <br /> OTHER LB OZ PT OT GA <br /> GR ❑ <br /> NR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR 8 W I E 'I � . <br /> NR <br /> MR 11 LB OZ PT OT GAF. <br /> TON, <br /> OR 8MR t)r. " <br /> OTHER❑ LS OZ PT OT GA ry; _1 1i mni !y <br /> ORBAIR <br /> OTHER LB OZ PT OT GA G p"vOR <br /> NR ❑ <br /> o1xER/❑ LB OZ PT OT GA <br /> REPORT PREPARED BY /-��� '� DATE - REVIEWED BY <br /> Can Distribution: White copy--Count gFicultvmI Commissioner; Pin!;Cop}•--DPR; CRnery- Applicatcrl GGldenvad--AnDlinatar FOR AGENCY USE ONLY <br />