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F f 1 f I I I I I I I I I I I I I 1 1 <br /> STATE OF CALIFORNIA <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> MONTH 1 YEAR 2 <br /> NURSERY 3 <br /> Page—of— <br /> OPERATOR ID/PERMIT NO. / OPERATOR (GRO/W-EyR). �w ADDRESS / /e �f CITY <br /> �J ZIP CODE � <br /> 4,3 _L)?— J/ `j�y 5 I..GM/� ' _ e/ G�. 'P'• F"ol I /� e/ <br /> SITE ID NO. T L PLANTED DACREAGE/UNTTB COUNTY NO. S CTION TOWNSHIP RANGE BASE & MERIDIAN <br /> 9 /—/ — � 10 O 11 12 13 �� <br /> COMMODITY/SITE TREATED FIELD LOCATION <br /> ,70/Il-16 <br /> _ ,e <br /> CHEMICAL DATE/nME ACREAGE/UNITS APP. BLOCK ID EPA/CAUP. REG NO. FPOM LAEEL TOU <br /> TOTAL DAIS RATE DRDON PRODUCT/MANUFACTURER <br /> NUMBER APPLICATION TREATED MET1. IIF PRODUCT USE. REENTRY PER ACRE <br /> COMPLETED ICHBCR A:L(CASLEI (CIRCLE 0"UNI <br /> 21 22�2T ] y 23 24"" 25 26 27 OF MEA811RE1 28 29 30 31 <br /> GR v <br /> AI 'T R ❑ /! <br /> OTHER❑ — C LB OZ P O GA �/� / f //'/ %Pi0/cP/nil✓PD <br /> GR <br /> AIR <br /> / (/ OTHER❑ �� 7 ✓ LB O8 OT OA Tom// ���w•A^ur'/_. <br /> OR <br /> OTHER o 7 � - ASyLs P.J - LB�2 OT GA 07 <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR <br /> ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LS OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER C] LB OZ PT OT GA <br /> GR Cl <br /> AIR ❑ .:. . <br /> OTHER❑ LB OZ PT OT GA TTI "3 —i <br /> } <br /> GR ❑ NJ .9..a 9 ,�� <br /> OTHER LB OZ PT OT GA LP <br /> 'l1 1 3'i <br /> OR ❑ 1Y�.1 71lJ� R� P^: <br /> AIR ❑ <br /> OTHER LB OZ PT OT GA <br /> ❑ <br /> 5" <br /> GR ❑ "3i - Z } iR 'iii I�aA e'j'L of L <br /> AIR ❑ tl _ <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER 11 LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> REPORT PREPARED BY� DATE 3-�-1.5 REVIEWED BY <br /> Submit to Agricultural Com ssioner within 10 days of month following application PR-ENF-017C(Rev 1/95) For Agency Use Only <br /> fag <br /> CAC <br />