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STATE OF CALIFORNIA PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PR-ENF-0=(REV.2 ) <br /> NURSERY -- pppLICATOR NAMEANDADDRESS <br /> CWMIY M°. 6ECTION T°WN6HIP MNOE BA6El APP.MET"°° PERMTTEE/PROPERTY OPERATQR <br /> ERIOIAN AIR)] a <br /> q " °N° •v , JERRY ATKINS <br /> 3 6 4 W I, OTHER "�- <br /> OPERATORID'PERMITNUMBER SITEIDEN ATIONNUMBER ZRESIUNITSAL ED 12332 E. Hwy 26 <br /> 9_ C 10 p Stockton, CA 95215 <br /> e 9 <br /> BLOCK ID <br /> LOCATION (IF APPLICABLE) <br /> y , p 12 13 <br /> 11 <br /> DATErt1M PLIED ACRESNNITS EATED COMMODITY/SITE TREATED <br /> CHEM UFAC RERMAME OF PROW T APPLIED 18PA/CALIF.REGISTRATION NUMBER FROM LABEL 2TOOTAL PRODUCT VSED 21 DILUTION <br /> 22 <br /> 17 iB .'/' - <br /> �S /Y U <br /> Lfloz. OT. <br /> ar. 5/ oa <br /> LB. Oz. <br /> L& Oz. PT. OT. 6A <br /> L& OZ. Pr. OT, tU. <br /> LB, OZ. PT. OT. W. <br /> LB. oz. Pr. OT. GA. <br /> DAYS REENTRY DAYS PREHAST APPLIEDISUPERVISED By OSP 01 63497 <br /> RVE <br /> 24 26 26 <br /> • Submit WHITE AND PINK COPY to the COUNTY AGRICULTURAL COMMISSIONER within 7 days of application. <br /> Form Distrubution; White copy--Agricultural Commissioner, Pink copy—DPR; Canary copy--Applicator, Goldenrod copy—Grower <br />