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I ST/..� OFi ....LIFT...JA I 1 I 1 I i i 1 <br /> DEPARTMENT OF FOOD AND AGRICULTURE <br /> PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> E <br /> MONTH 1 YEAR 2 <br /> NURSERY 3 <br /> Page Dt <br /> OP <br /> 9RATOR ID/PERMIT NO. / OPER TOR (GROWER) ADDRESS J CITY ZIP T <br /> 4 ` 3 S 2`P 8 6 iN 7 B \ <br /> SITE ID NO. TOTAL PL AC AG``E/�UNR9 COUNTY NO.2R SECT TOWNSHIP RANGE BASE & MERIDIAN <br /> -3-/ c 10 v 1 1 �„J l 12 `F� 13 N 14 W 15 5 X <br /> COMMODITY/SITE T E TED FIELD LOOC/rATON ,,a ILLAA 1" /1 <br /> CHEMICAL DATE/TIME ACR.../UNR9 APP. BLOCK ID EPA/CALIP.REG. NO. FROM LABEL TOTAL DAY9 RATE DILUTION PRODUCT/MANUPACTUFER <br /> NUMBER APPLICATION TREATED MET.. IIP PRODUCT USED REENTIV PFR ACDF <br /> COMPLETED (CHECK APPLICABLE) (CIRCLE ONE UNIT <br /> 21 3 24 NEI 25 26 OP MEASUREI 28 28 30 31 <br /> AI E �( \ <br /> AR ❑ ` <br /> OTHER❑ C% 2-A`�\ LB 02 PT OT A <br /> �\ ll <br /> GR IN loT G <br /> AIR ❑ lJ //�� �L JO <br /> OTHER❑ 3W' oY.. W LB OZ PT OT r l� C7 <br /> AIR El <br /> GR <br /> f- .. OTHERa.-"QGA IeY \ <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ "OT GAAIR C3 <br /> OTHER❑ �i dA L. OZ U OT� ( r l �T <br /> �� tl OTHERAIR <br /> [, ' LB OZ PT OT <br /> GR <br /> OTHER❑ LJ v /� LB OZ PT OT <br /> 111, <br /> OR 11AIR L1 <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER❑ LS OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER ILS OZ PT OT GA <br /> OR ❑ l"... <br /> AIR ❑ <br /> OTHER❑ LS OZ PT OT GA <br /> REPORT PREPARED BY G'` 4 4 DATE REVIEWED BY <br /> (1) CAC Submit to Agricultural Commissioner jithin 10 day of month following application 33- 17C (3 190) For Agency Use Only <br />