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I I I I I I I I I I I I I I I I I I I <br /> STATE DEPARTMENT <br /> PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PR-ENF-017C(REV.2]99) <br /> Instructions: Submit the white cop v to the Agricultural Commissioner within 10 days of month following application. <br /> MO AW <br /> � 1 YEAM 2 <br /> NURSERY 3 <br /> Page_of <br /> OPERATOR ��/� S 7 <br /> SITE RMIT NOPERATOR(GROWER) X9DRE 5900 _ ,7P CODE <br /> 1T% BI���� <br /> 13 <br /> E IDENTIFICATIONNUMBER ��rd/TTrOTA LANTTTEDDAA]CCRR/�EEAGE/UNITS COUNTY/NNUUMBBER S TION? /`/j'CT'IOOWNSHIP RANGGEE o BASE A MERIDIAN <br /> 10 /U 17 v / 12 / 13 O Z 1 �/Q W is S to H <br /> COMMODITY/SITE TREATED FIEL,Da,LL CATIO 0 4� <br /> CHEMICAL OATWIME ACREAGGUNRB APP. BLOCK ID EPA OR STATE REGISTRATION NUMBER TOTALPROOUCTUSEO i6AYBRATE DILUTION PRODUCT AND MANUFACTURER <br /> WOE NUMBER APPLICATION TREATED METHOD (IF (FROM LABEL) (CIRCLE ONE UNIT REENTRY PER ACRE <br /> COMPLETED (CHECK APPLICABLE) OF MEASURE) <br /> 21 22 L 23 210NE) 25 26 27 28 28 30 31 <br /> an <br /> MR <br /> OTHER❑ Sd - 7J LB 02 PT 10D GA O �Y <br /> anzi <br /> /] G OTHER ❑ L>SD - J `J� SonG/G4, LB 6 PT OT GA D jJ �Z II pS- &14 <br /> MR <br /> OTHER -7,ZI� - ��� 73y�L-, LB OZ PT OTZ GA �r� II //Yt- .A S- F .Le-m <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> HJR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> cH ❑ <br /> .UR ❑ <br /> OTHER ❑ LB OZ PT OT GA <br /> OR ❑ <br /> NR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER ❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR <br /> OTHER LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ ?l•:� <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ i;, .;o At. <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA t xj <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA - i. -0'• d F �- <br /> GR <br /> MR <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> NR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> ;7 _ <br /> REPORT PREPARED BY //� DATE M�` REVIEWED BY <br /> Form Distribution: White copy--County Aq .ultural Commiscionor; Pink ropy--DPR; Canary--Applicatorrod--Applicator FOR AGENCY USE ONLY <br />