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`ORNIA <br /> DN AGRICULTURE MONTHLY PESTICIDE USE REPORT MULTIPLE SITEICOMMODITY O DEPARTMENT OF <br /> 5/95) <br /> PESTICiE <br /> OF <br /> C77ONS ON THE REVERSE OF THIS FORM Nc <br /> 2.YEAR 3. A CODUjjjNTY N0. <br /> �q FINURSERY } 7 <br /> RANGED B.BASE&MERIDIAN 9.OPERATOR ID/PERMIT NO. /10.OPERATOR(GROWER) 11.ADDRESS <br /> U x C n <br />{ R 08 W SAH 39Qy.39o4G29 Ps� l.�cbo�, � 17. <br /> ro�. 12)1 � s1 mode�to <br /> 75. 16. 20. <br /> c <br /> GATE AND TIME COMM17 16. 19.ODI7V/SITE TREATED <br /> APPLICATION PLANTED TREATED METHOD TOTAL RATE DILUTION DAYS MANUFACTLTOTAL TOTAL APP EPA/CALIF.REG.NO.FROM LABEL 21 22 23 24. 26. <br /> B <br /> COMPLETED ACRES ACRES (CHECK PRODUCT USED PER ACRE REENTRY <br /> ONE (CIRCLE ONE UNIT <br /> OF MEASURE <br /> OR <br /> Y/ C-rq�e5 130 130 AIR ER Cl 554 26- 3 A f) I rl L 151-3 0 -I ZH9,> <br /> LB Z PT OT GA ,Vf <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 ❑ <br /> _ LB OZ PT OT GA <br /> OR ❑ -- <br /> AIR ❑ <br /> OTHER Cl <br /> LB OZ PT OT GA <br /> GR ❑ p .- - �i)� a <br /> AIR ❑ <br /> OTHER Cl <br /> LB OZ T <br /> OR ❑ <br /> AIR ❑ UL 0 9 2004 <br /> OTHER O <br /> LB OZ PT OT GA <br /> ORSAN J AQU NCO <br /> AIR ❑ <br /> OTHER ❑ AG IC.CO M.- I. DI <br /> LB OZ PT OT GA <br /> I I I <br /> OR Cl — <br /> AIR C) <br /> OTHER <br /> LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER ❑ <br /> � LB OZ PT OT GA <br /> REPORT PREPARED --..— DATE _?LB1y REVIEWED BY <br /> FOR AO <br />