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' I r I 1 f ( 1 I I 1 1 I i 1 ► I 1 i I <br /> DEPARTMI <br />)F CALIFORNIA <br /> 1UCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT : MULTIPLE SITE/COMMODITY <br /> 183(REV.5195) <br /> iSTRUCTIONS ON THE REVERSE OF THIS FORM <br /> 2 YEAR 3. 4.COUNTY NO <br /> O� NURSERY 5 -7-030) <br />.N �OWN51R 7OR2 GE W B.BASEOEHIDIAN 'SO) - Io/ 0)PERMIT NO 10.OPERATOR(GROWER) I Q iL ADDRESS 12 CITY <br /> 09 <br /> 15. 16. 17 18. 19. 20. 21. 22 23. 2A. Z5. <br /> 1E DATE AND TIME COMMODITY/SITE TREATED TOTAL TOTAL APP. EPA/CALIF REG NO.FROM LABEL TOTAL:O <br /> RATE DILUTION DAYS M/ <br /> TCATION APPLICATION PLANTED TREATED METHOD PRODCT USEDPERPER ACRE REENTRY <br /> IBER COMPLETED ACRES ACRES (CHECK (CIRCLE <br /> l� ONES_ OF MEASURE <br /> GR fl <br /> y II/�3 -SZA Ito ISO AR ❑ Z"13s- S�3 O�PSO A IS N-1 <br /> OTHER ❑ <br /> V� G�✓c GS <br /> ol <br /> GR <br /> L�I AIN ❑ II rI <br /> OlO G— <br /> 2 II II I llEli El 1'i OT A <br /> ' <br /> OAIR 11 <br /> R 21 <br /> OTHER ❑ OZ <br /> I F (I 11 11 <br /> J PT OT GA <br /> OR ❑ <br /> AIR ❑ ��� <br /> OTHER ❑ � LB OZ PT OT G <br /> OR ❑ <br /> AIR ❑ <br /> OTHER ❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER ❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER ❑ LB OZ PT OT GA <br /> e II <br /> GR ❑ <br /> AIR ❑ <br /> OTHER ❑ LB OZ PT OT GA C <br /> LA <br /> OR 13AIR ❑ <br /> OTHER Cl LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER ❑ LB OZ PT OT GA <br /> REPORT PREPARED BY �"r'' ► DATE 01l( I�7 REVIEWED BY <br />