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JGIUI VOY, ^Ul,UJLU, LVVJ 1 1VU0-VIODU <br /> rev. 02/28/02 <br /> Pesticide Use Report <br /> Nursery County Section Townshi Range Base 8 Meridian Method j Applicator Name 6 Address <br /> 39 26 1S 8E M Air Hawke Ag Aviation <br /> P.O. Box 1133 <br /> Permitee/Customer Operator ID/Permit# Site ID# Oakdale, CA 95361 <br /> VANDER SCHAAF DAIR 39-05-3902345 VEENSTRA 3-1 C -C Inv. #.- 2215 _ <br /> Total Acres Planted Location Block ID rif applicable) <br /> 255.00 S/E LONE TREE&CARROLTON RDS. <br /> Date 8 Time Applied Area Treated Commodity/Site Treated <br /> 08/06/2005 7:15-8:30A 155.00 ac. i Corn <br /> Product 6 <br /> Chemical# Manufacturer EPA Re .# Total A lied Rate erAcre Dilution <br /> 4450 COMITE 00400-00104-ZA-00000 310.00 PT 2.000 PT 10 <br /> 10 GALLON AIR CHARGE 155.00 AC 1.000AC 10 <br /> 10% FUEL SUR CHARGE 155.00 JB 1.000JB 10 <br /> Hours Reentry Days Preharvest Application Supervised by., Shane Sperry <br /> 0 30 Yellow W/green <br /> Submitted by Date: Time: <br /> ROSALYN SPERRY 08/06/2005 11:54 pm — <br /> Received by Box No 7te I Time <br /> submit to AGRICULTURAL COMMISSIONER within 7 days of application <br /> c, 1E- <br />