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STATE DEPARTMENT <br /> PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION ' <br /> Submit to the Agricultural Commissioner within 10 days of the month following application. <br /> June 2004 Field:VF-112-RD <br /> Month Year 06:01-2004 to 06-30-2004 <br /> Nursery <br /> Operator ID/Pcrmil No Operator(Grower) Address City Zlp Code <br /> 39-04-3903245 VEENSTRA FARMING 15863 S SEXTON Escalon,CA 95320 <br /> Site Identification If Total Planted Acres Counly Section Township Range I Base a Menman <br /> 3-1 /SE 1 105 39 San Joe uin 26 1 01 ❑ N s OS ® E ❑w ❑ S ® M ❑ H <br /> Commodity I Crop I Site Treated Field Location <br /> CORN/FIELD LONE TREE&CARROLTON <br /> Chemical D:�te I Time Area Application Bock EPA or Stale Registration# Total Days Application <br /> Code Dilution Product antl Manufacturer <br /> Number R,mpleted Treated Method ID (From LabeO Product Reentry Rate <br /> OBI3012o04 105.00 Ground 1050.00 10.00 Lbs/ 0 POUNCE 1.5G <br /> 1100 Acres Air ❑ 00279-03059-AA-00000 pounds 12 Hrs Treated Ac Gallons FMC <br /> Other ❑ <br /> Reviewed By <br /> Report Prepared By <br /> Dale 06-30-2004 For Agency Use Only <br /> 06-30-04 <br /> Copyright 01984-2004,CDMS Inc. Page 1 <br />