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STATE OF CALIFORNIA - ENVIRONMENTAL PROTECTION AGENCY <br /> DEPARTMENT OF PESTICIDE 12EGLJLAT€ON <br /> PESTICWE USE REPORT (33425 Rea 3/90)PMIS 0033 <br /> rcc.#81224-M05-APL-2 <br /> { ) Nursery <br /> County I Section Township Range Base&Meridian Method Permitte 1 Customer Applicator Name&Address <br /> 39 7 ' 2S RE M A VanGronin &Sons Prods Ag-Air lnc. <br /> Operator Identification Number Site Identification Number Planted Area 18417 E.Hwy.4 <br /> 39-05-3901377 26-1 35.00 ac StodMm,CA 95215 <br /> Lomdon Block ID VGS 26-1 <br /> E/JACKTONE N OF CLINTON <br /> Date/Time Applied Area Treated Commodity or Site Treated Crop ID <br /> Proposed:08/21/05 6:30 am Actual <br /> Actual: 08/21/05 7:30 am 35.00 ac Pumpkins 10012-00 <br /> RestrictedIChomicall Registration Number Total Formulated Rate Per Dilation <br /> Material Number I Product and Manufactum From Label Product Usod ac Volume <br /> N 560 1 Pwfu*sulfur 2935-4-AA 1,225.00 35.00 0.00 <br /> �* y lb lb gal <br /> Days Reentry Days Preharvest Application Supervised By NW N NE, <br /> 1 day 0 day Brent Alger <br /> Environmental Changes/Comments <br /> W E <br /> Target Area <br /> Submitted By: Date Time PCA Name SW S SE <br /> Brent <br /> Iger 08/29/05 5:06PM Brian Van ingen 2531 <br /> ,eceived By: Box No. Date Time yed <br /> Denied <br />{ <br /> M <br /> ECEIVE <br /> SEP 1 8 2005 <br /> ACR, COMM. SIMMS <br />