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I t r r r r r r r r r r r r r r r r- r <br /> STAfE OF DEPARTMENT CALIFORNIA PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PR-ENF-017C(REV.2/99) <br /> Instructions: Submit the white cony to the Agricultural Commissioner within 10 days of month following application. <br /> MON 1 YEARC <br /> NURSERY 3 <br /> Page_of_ <br /> OPERATOR ID/PERMIT NUMBER OPE TOR(GROWER) ADDRESS CITY ` 21P fZ <br /> 6 i� 5 6/"" ICTY <br /> Y/ys <br /> SITE IDENTIFICATION NUMBER TOTA LANTED CREAGE/UNITS COUNTY NUMBER GECTION TOWNSHIP/ RANGE BASE►MERIDIAN <br /> / 7 <br /> B r' - � 10 / H �.+ 12 /7 13 �� N 4 Dp 15 5 H <br /> COMMODITY/S E TREATED FIELD LOCATION �j <br /> 17 19 G X/_/-F/�'�`�. <br /> CHE&rCAL DATEITIME ACREAGENNRB APP. BLOCKS) EPA OR STATE REGISTRATION NUMBER TOTALPRODUCTUSED YS RATE DILUTION PRODUCT AND MANUFACTURER <br /> CODE NUMBER APPLICATION TREATED METHOD (IF (FROM LABEL) (CIRCLEONEUNIT REENTRY PERACRE <br /> COMPLETE) (CHECK APPUCA9LE) OF MEASURE) <br /> 21 22 23 24ONE) 25 26 27 28 29 30 31 <br /> OTHER❑ o�. LB DZ PT GA <br /> 170 <br /> q U3 <br /> OR <br /> •� OTHER ❑ 7 q --s0 I/ LB OZ T OT GAMR <br /> ' <br /> OR <br /> t/ OTHER❑ /J (J LB OZ PT GAAIR <br /> OTHER 7 Z ` Go Z�- 4A LB PT OT GA <br /> OR ❑ <br /> NR <br /> OTHER H LB OZ PT OT GA <br /> GR ❑ <br /> NR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> NR ❑ <br /> OTHER ❑ LB OZ PT OT GA <br /> GR ❑ <br /> NR <br /> OTHER B LB OZ PT OT GA \ <br /> GR ❑ <br /> NR <br /> OTHER LB OZ PT OT GA <br /> GR ❑ <br /> NR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GA 8NR <br /> OTHER❑ LB OZ PT OT GA -- q-r <br /> MR 8 <br /> NR <br /> OTHER❑ LB OZ PT OT GA <br /> NR <br /> OTHER❑ LB OZ IT OT GA <br /> OR 13 <br /> MR 13 <br /> �OTHER 01 LS OZ PT OT GA <br /> REPORT PREPARED BY ��'� %/ ` 6� DATE f REVIEWED BY <br /> Form Distribution: White copy--County Icultuml Commissioner, Pink copy--DPR� Cnuary--Applicator, GDldenmd--Applicator FOR AGENCY USE ONLY <br />