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fK- 77/H4LTC AMU) Unr..Kz l Beaaw► 9/13120 2a4Ss59PM Vereim-6.1 <br /> STATE OF CALIFORNIA — ENVIRONNIEN'TAL PROTECTION AGENCY <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PESTIC DE USE REPORT(33-025 Raw 3/90)PMIS 0033 <br /> Rec.#00807 MO6-APL-1 <br /> Nursery <br /> Catlnty 3eclYan Tcravnship Range Base&Meridian Method Permitte/Customer Applicator Name&Address <br /> 39 7 2S 8B M G Van Grnmgen„A&Sons Kuil Brothers <br /> i Operator 1dendfication Number Site Identiflicwm Number Planted Area 228"S.Frederick <br /> 39-06-3901377 26-1 35:00 ac Ripon,CA 95365 <br /> Location I Block ID VGS-2611BV <br /> E(JACKTONE N OF CLWMN <br /> Applied Area Treated Commodity or She Treated Gap ID <br /> Ack=1 <br /> j AgU4, 09101/05 5:00 am 35.00 ac Pumpkins 10011-00 <br /> F <br /> Restricted Chemical Registrafl0n Number Total Formulated Rate Per Dilution i <br /> Material Number Product and Manu1$ct Icer From Label Product Used at vohme <br /> N 22540 Agri-nsdc 0.151::0 100405-7A 3.01 11.00 <br /> SYS C"pfoft-wa Inc. � oz <br /> gEd <br /> B1FENI1JRE EC-CA 705%-WS-AA-MM 1.75 5.40 <br /> United Plosphms Inc 0 0z gal <br /> N 56980 M hWid 2F(Dow) -AA 2.73 10.00 <br /> Dow"''a`°dcnm gal 0z pl <br /> ya y Days Preb=est Application Supervised By NW N NF <br /> 72 hr 1 14 day Matt Kuil <br /> Environmental Changes 1 Comments <br /> W g <br /> Target Area <br /> Submitted By: Date Time PCA Name SW S SE <br /> Matt Kull 9/13100. 02:45 PM Brian V 2531 <br /> Received By: Box No. Date TimeA <br /> jVroved. <br /> Denied <br /> ECEIV <br /> SEP 1 8 2006 <br /> AGS. Comm: Simms <br /> i <br /> I ' <br />