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I I 1 1 I I 1 1 I 1 I 1 1 1 f I 1 <br />`ORNIA <br />:)N AGRICULTURE MONTHLY PESTICIDE USE REPORT : MULTIPLE SITE/COMMODITY DEPARTMENT OF <br /> 5195) PESTICII <br /> TIONS ON THE REVERSE OF THIS FORM (vt <br /> 2.YEAR 3. A COUNTY NO. <br /> O El NURSERY <br /> A'6f,�P 7.RANGE B BASE 6 MERIDIAN 9.OPERATOR ID/PERMIT NO. 10.OPERATOR(GROWER) I1.ADDRESS <br /> QS D� W S Q H 12.CITY <br /> l6 <br /> 39 13. <br /> 04 %2-9 ,.�— I� bo P, e <br /> 15. 16. 1T. 1B. 19. 20. <br /> DATE AND TIME COMMODITY/SITE TflEATED TOTAL TOTAL APP EPA/CALIF.REG NO.FROM LABEL 21. ZZ 23 2l 25 <br /> COMPLETED <br /> . <br /> APPLICATIONPLANTED TREATED METHOD TOTAL HATE DILUTION DAYS MANUFACTUP <br /> COMPACRES ACRES (CHECK PRODUCT USED PEO ACRE REENTRY <br /> I <br /> ONE) (CIRCLE ONE UNIT <br /> OF MEASURE <br /> Ain f <br /> ISn A. G��¢S OTHER ❑ L�� s IVB 3C� <br /> `7 �• -_W-y �1 B OZ PT OT GA DSI <br /> GR ❑ <br /> AIR ❑ <br /> OTHER ❑ <br /> _ LO OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER ❑ <br /> LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER ❑ <br /> LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER Cl <br /> LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER ❑ <br /> LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER ❑ <br /> LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER Cl <br /> LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ I, <br /> OTHER ❑ <br /> LB OZ PT OT GA <br /> GR ❑ t <br /> AIR ❑ <br /> OTHER ❑ <br /> REPORT PREPARED BY l DATE 121 <br /> REVIEWED BY <br /> FOR AOKI <br />