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I I I i s I STS _. OR _ .LIF 4IA► 1 I ► ► <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PRODUCT ON AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> MONTH 1 'YEAR 2 <br /> NURSERY 3 <br /> Page of <br /> OPERATOR ID/PERMIT NO. --'S) OP ROW ) ADDRESS CITY ZIP CODE <br /> ( � It'1-Q ci.. 7 �6 'Y'1 <br /> SITE ID NO. TOTAL PLANTED ACREAGE/UNITS COUNTY 110 �S CTION TOWNSHIP RANGE BASE & MERIDIAN <br /> /� f 7 N I E <br /> 9 w' 1 0 L<' 1 1 1 2 1 3 1 4 C 15 5 M H <br /> COMM DITY/SITE TREATED FIELD LO I N <br /> 17 19 i rt sr :ti- I l.✓ <br /> CHEMICAL DATE/TIME ACREAGE/UNITS APP. BLOCKID EFA/CALIF. REG. NO. FROM LABEL TOTAL DAYS RATE DILUTION PRODUCT/MANUFACTURER <br /> NUMBER APPLICATION TREATED METH. (IF PRODUCT USED REENTRY PER ACRE <br /> COMPLETED (CHECK APPLICABLE) (CIRCLE ONE UNIT <br /> ONE) OF MEASURE) <br /> 21 22 23 24 25 2E27 28 29 30 31 <br /> GR <br /> 7 AIR <br /> OTHER❑ / V /" LB OZ PTO GA l <br /> GR <br /> AIR R0 <br /> O ^ ~ l 2( T .14 <br /> VVV GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> IGR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LS OZ PT OT GA <br /> GR ❑ <br /> AIREIOTHER❑ LB OZ PT OT GA ��- <br /> GR ❑ <br /> AIR ❑ <br /> OTHER ElLB OZ PT OT GA - <br /> GR ❑ �l� ,,.A k <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR <br /> OTHER LS OZ PT OT GA <br /> REPORT PREPARED BY 4e� DATE - REVIEWED BY <br /> Submit to Agric It( al Commissioner wi hin 10 days of month following application PR-ENF-011C (Rev 1/95) For Agency Use Only <br /> C'6 'ark "✓ <br />