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DEPARTMENT OF PESTICIDE REGULATION f"nvuU\+I IUN AUHII.ULI UHL MUNI-HLY PESTICIDE USE REPORT <br /> Submit o the Agricultural Commissioner within 10 days of the month following application. <br /> Feld:LW-3/110-EV <br /> ,tom <br /> Month Year _ <br /> Nursery Z / <br /> Operator ID/Permit No Operator(Grower) Address &nY.a° ZIP,Code <br /> 39-05.3903269 WOLTJER LARRY 15821 S.SEXTON' 6sca1orl CA- 95320 <br /> Site identification a Total Planted Acres County Section Township Range Base&Meridian <br /> 3.1c/ 90 39 Sen Jos uln 28 01 ❑ N He 08 E ❑Of ❑ S M ❑ H <br /> Co modify/Crop/Site Treated Field Location <br /> ALMONDS 111 1 1 Ll WS ZUMWALT WNAN ALLEN <br /> Chemical Date/Time Area Application Block EPA or State Registration A Total Days Application Dilution Product and Manufacturer <br /> Code Completed Treated Method ID (From Label) Product Reentry Rete <br /> Number <br /> 90.00 Ground <br /> ❑ 0052400539- -00000 112.50 @ r 12.50 P,t3^J °t ROUNDUP ORIGINAL MAX <br /> 0900 Acres cher Pints ' it Tread r MONSANTO <br /> 90.00 Ground 45.00 $v 'a< k,f 0 `:. "" GOAL 2XL <br /> OB00 Air 82719-00424-AA-00000 r <br /> Pints DOW AGROSCIENCE <br /> Growd ' RNA TRIAD 73 <br /> 90.00 <br /> 1050990-50011-AA-000 13.60 2 <br /> Acres Oilier Pints ..r ' l r ,S,.i; 1 bnS, RNA <br /> <s>Not S <br /> ECEIVE <br /> MAR 7 2005 D <br /> AUR. COMM. SIMMS <br /> Reviewed By <br /> Report Prepared By Date For Agency Use Only <br /> Copyright®1984-2004,CDMS Inc. Page 1 12-17-04 <br /> l <br /> - J - J ---j ---h ___i —J __J __-J —1 of vJ —..J --.J -.1 __J _e.A aJ i <br />