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N, dnesday, December 17, 2003 PMIS-0189B <br /> rev. 02/28/02 <br /> Pesticide Use Report <br /> Nursery County Section Township Range Base&Meridian Method Applicator Name&Address <br /> 39 26 1S 8E B Air Hawke Ag Aviation <br /> P.O. Box 1133 <br /> Nermitee/Customer Operator ID/Permit# Site ID# Oakdale, CA 95361 <br /> VANDER SCHAAF DAIR 39-03-3902345 VEENSTRA 3-1 0 Inv. #: 1181 <br /> ._jtal Acres Planted Location Block ID(if applicable) <br /> 225.00 SE LONE TREE & CARROLTON <br /> 'ate& Time Applied Area Treated Commodity/Site Treated <br /> 12/16/03 3:15 243.00 ac. Oats <br /> Product & <br /> -.'heroical# Manufacturer EPA Re .# Total A lied Rate er Acre Dilution <br /> Shark Herbicide 00279-03194-AA-00000 243.00 OZ 1.0000Z 10 <br /> 361 RHOMENE MCPA 11685-00019-AA-00264 243.00 PT 1.000PT 10 <br /> Rhone-Poulenc <br /> RNA ACTIVATOR 85 1050990-50016-AA-000 24.30 PT 0.100PT 10 <br /> Rna <br /> 10 GALLON AIR CHARGE 243.00 AC 1.000AC 10 <br /> lours Reentry Days Preharvest Application Supervised by: Shane Sperry <br /> 48 45 Yellow W/green <br /> Submitted by Date: Time: <br /> ROSALYN SPERRY 12/17/2003 8:30 am <br /> Received by Box No Date Time <br /> submit to AGRICULTURAL COMMISSIONER within 7 days of application <br /> et,, !V� �iJ' Ir195SJ <br />