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I I I I I I I I I I I I I I I I I I I <br /> e6TF. TMENT O"T OF PESTICIDE REGULATION ORNIA <br /> F. <br /> PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> O <br /> PR-ENF-617C(REV.Wes) <br /> Instructions: Submit the white cop v to the Agricultural Commissioner within 10 days of month following application. <br /> Z o3'- 1 <br /> NON H I YEAR 2 <br /> NURSERY 3 <br /> Page--of <br /> OPERATOR IDIPERMIT NUMBER OPERATOR(GROWER) ADDRESS CITY ZIP CODE <br /> 439 - Cly- 5 ;.)z'-- Nit.-L=; Q-o 6 121l L si • 7 ,�QJ'6o B % 3r'q <br /> SITE IDENNTTTIFICATIOON NUMBER i AL PLANTED ACREAGENNITS COUNTY NUMBER SECTION 1y-y� TOWNSHIP RANG/EE BASE 6 MERIDIAN <br /> a 1— 1 10 11 V� 12 '" 13 S N l/� W Is S M H <br /> COMMODITY/SITE TREATED FIELD LOCATION 1 <br /> 17 LSC L ) 1B JOPo-_}' TW <br /> CHEMICAL DATE/11 ACREAGMPUTS APP. BIDCKID EPA OR STATE REGISTRATION NUMBER TOTAL PRODUCT USED DAYS RATE OILUTKIN PRODUCT AND MANUFACTURER <br /> CODE NUMBER APPLICATION TREATED METHOD (IF (FROM"BEL) (OIACLE ONE UNIT REENTRY PER ACRE <br /> COMPLETED (CHECK APPUCABUQ OF MEASURE) <br /> 21 22 23 24 <br /> ONE) 2$ 26 27 28 20 30 31 <br /> y 3 OR 0)Cc, •t 1 <br /> 9 II�� AIR (� 1_�f1 I / <br /> v OTHER EI .Ss-92a - 3 A A OZ PT OT GA h/�, 1 to �JI \V� `, L <br /> Na o I 1`1vo zit <br /> rr <br /> 130 OTHER❑ II ( OZ PT OT GA <br /> tiI <br /> OR <br /> GI �7MA 0 <br /> Z ...,.. I !� OTHER❑ 11 tl q5� 11 11 tl ll CI <br /> rLs OZ PT OT GA <br /> ON <br /> i t i <br /> jr".K ` GTHER❑ L 111 OZT OT GA <br /> OR ❑ Y I/ <br /> AIR <br /> OTHER H LB OZ PT OT GA <br /> OR gNR <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER❑ <br /> Le 02 PT OT GA j <br /> GA I <br /> AR <br /> OTHER LB OZ PT OT GAI 1 I ■` <br /> GR ❑ P <br /> AIRI <br /> OTHER® LB OZ PT OT GA <br /> OR <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA I <br /> AIR <br /> O <br /> OTHER❑ LB OZ PT OT GA <br /> OR HNR <br /> OTHER❑ LB OZ PT OT GA <br /> OR AAIR <br /> OTHER❑ <br /> LB OZ PT OT OA <br /> OR ❑ <br /> Mq ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> �C 5+1I <br /> REPORT PREPARED BY DATE I REVIEWED BY <br /> Form Distribution: White copy--County Agricultural Comml ssioner, Pink cony--DPR; Canary--Applicalor; Goldenrod -Applicator FOR AGENCY USE ONLY <br />