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r— <br /> STATE FCALIFORNIA <br /> DEPARTMENT OF PESTICIDE REGULATION PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPART <br /> PR-ENF-01]C(REV.2/99) <br /> Instructions: Submit the white copy to the Agricultural Commissioner within 10 days of month following application. <br /> J-R n c ;?-00S <br /> MONTH 1 YEAR 2 <br /> NURSERY 3 Z <br /> Page_of_ <br /> OPERATOR ID/PERMIT NUMBER OPERATOR(GROWER) ADDRESS CITY ZIP CODE <br /> 4 39-0 -3go3.2- 5 VenFe. Scklaht2— B 31114& E. 1.arte Tree Rd. , OaKJ.le B q33&1 <br /> SITE IDENTIFICATION NUMBER TOTAL PANTED ACREAGE/UNITS COUNTY NUMBER SECTION TOWNSHIP RANGE p Q BASE&MERIDIAN <br /> 9 I — 10 1 W 11 12 �� 13 O I N 14 O/ W 15 5 H <br /> COMM OI /SIT'ETrT`�RREATED FIELD LOCATION T I LL�� <br /> 17 V,F— 19 5 LOneTree ?Ptd VrGrar <br /> CHEMICAL DATETIME ACREAGIDUMTS APP. BLOCK IO EPAOR STATE REGISTRATION NUMBER TOTAL PRODUCT USED DAYS RATE PER DILUTION PRODUCT AND MANUFACTURER <br /> CODE NUMBER APPLICATION TREATED METHOD IF (FROM LABEL) (CIRCLE ONE UNIT REENTRY ACRE <br /> COMPLETED (CHECK APPLICABLE) OF MEASURE) <br /> ONE) <br /> 21 22 23 24 25 28 27 28 29 30 31 <br /> /� OR , <br /> 75 <br /> G4// ' D fl ,SGI erl�es' <br /> OTHER I �J"MF LB OZ PT OT GA [G'/I tIG e'r [0���✓/� <br /> GR <br /> 6/o OTHERMR �z7(9 - 319 B OZ�T QT GA J�,q_rIk r/r( � <br /> 71O ! 6 <br /> AIR <br /> JLB Z PT QT GA IjO1Q CI J�LI O�T� <br /> OR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR Cl <br /> OTHER ❑ LB OZ PT QT GA <br /> OR <br /> AIR <br /> OTHER LB OZ PT OT GA <br /> OR ❑ <br /> AIR <br /> OTHER H LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> $% NER Cl LB OZ PT QT GA <br /> GRC34,:i <br /> AIR 7P. <br /> OTHQR ❑ LB OZ PT QT GA <br /> JUL 6 El46 GR <br /> AIRS ❑ <br /> ER ❑ LB OZ PT OT GA <br /> ,a=aR COMIlr�i`IelE, <br /> LS OZ PT QT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER❑ - LB OZ PT QT GA <br /> REPORT PREPARED BY NTII DATE 00/o5 REVIEWEDBY <br /> Form Distribution: White copy--County Agricultural Commissioner; Pink copy--DPR; Canary--Applicator; Goldenrod--Applicator I FOR AGENCY USE ONLY <br />