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STAT—yr al)ALIF..�.ir�A I } 1 + t I ) ) <br /> DEPARTMENT OF PESTICIDE REGULATION PR6DU(a ZON A(aRICULII'Ukt 7 ON 11.1LY HC5TICiuc US,: mEPfn.r <br /> Submit to the Agricultural Commissioner within 10 days of the month following application. <br /> June 2004 Field:VF-63-RD <br /> Month Year 06-01-2004 to 06-30-2004 <br /> O Nursery <br /> Operator ID/Permit No Operator(Grower) Address City Zip Code <br /> 39-04-3903245 VEENSTRA FARMING 15863 S SEXTON Escalon,CA 95320 <br /> Site Identification# Total Planted Acres County Section Township Range Base 8 Meridian <br /> 3-1 /SE 63 39 San Joe uin 26 01 MM ® 5 OB ME OW O S X M O H <br /> Commodity/Crop I Site Treated Field Location <br /> CORN/FIELD LONE TREE&CARROLTON <br /> Chemical Date/Time Area Application Block EPA or State Registration# Total Days Application Dilution Product and Manufacturer <br /> Code Completed Treated Method ID (From Label) Product Reentry Rale <br /> Number <br /> 06/30/2004 63.00 Airou� POUNCE 1.5G <br /> ❑ 00279-03059-AA-00000 630.00 10.00 Lbs i 0 <br /> 1100 Acres other Pounds 12 Hrs Treated Ac Gallons FMC <br /> Reviewed By <br /> Report Prepared By <br /> Date 06-30-2004 For Agency Use Only <br /> 0&30-04 <br /> Copyright 0 1984-2004,CDMS Inc. Page 1 <br />