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to <br /> STATE OF CALIFORNIA <br /> DEPARTMENT OF PESTICIDE REGULATION PESTICIDE USE REPORT <br /> PR-ENF-025(REV.280) <br /> NURSERY <br /> A `"Y NO. SECTION TOWNSHIP PANGE BASE• APP.METH00 PERMITTEE/PROPERT OPEI <br /> MERIDIAN AIRS APPLICATOR NAME AND ADDRESS <br /> a _VAC <br /> al <br /> OPERATORI El N MBER 4 W 5 OTHER <br /> owl <br /> SITE IDENTIFICATION NUMBER TO L PLANTED <br /> fin, _ a meq_ y� ACRES(UNITS JERRY ATKINS <br /> LocanoN 10 12332 E. Hwy 26 <br /> BLOCK ID Stockton, CA 95215 <br /> 11 ( ,e A��. (IF APPLICABLE) <br /> D IIIMEAPPUED dSJ d!� 12 <br /> I� ACRES�[N`NTT�S TR D COMMODITY/SITE TREATEDIs 13 <br /> 14 <br /> CHEM MA UFACTUREHINAME OF PRODUCT APPLIED 16 <br /> 17 10 E AU"R 019TRATION NUMBER FROM LABEL <br /> 19 oOTAL PRODUCT USED RATE DILUTION <br /> © 21 22 <br /> 4r <br /> O� <br /> LB. oz. . OT. BA. <br /> 0 <br /> La oz. or. or. a. <br /> LB. OZ. Pr. OT. OA. <br /> LB. oi. Pr. OT. 6f. <br /> DAYS REENTRY DAYS PREHARVESTEB. oz. Pr. Oi. Gk <br /> BY <br /> 2! OSP 91 53497 <br /> • Submit WHITE AND PINK COPY to the COUNTY AGRICULTURAL COMMISSIONER within 7 days of application. <br /> Form Distrubution: White copy-_Agricultumi Commissioner, Pink copy--DPR; Cana co p <br /> N copy--Applicator, Goldenrod copy—Grower <br />