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IV <br /> STATE OF CALIFORNIA PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PP-ENF-02S(REV.299) <br /> NURSERY <br /> 000x No. I SECTOR I TOWN.HIP RANGEBA9En APP.METHoO PER MITTEEIPROPERTY OPERAT APPLICATOR NAME AND ADDRESS <br /> �]J` r0 MERIDIAN 41RD <br /> OV 1 3 n S•s•, W s 1?. Hi OTHEq6 7 �-.� �•^ .icRRY ATKINS <br /> P <br /> OPERATOR IDERMIT NUMBER SITE IDENTIFICATION NUMBER TOTA (ANTED <br /> /} �{ ACR NITS 12332 E. Hwy 26 <br /> to L6- S,ockon, CA95215 <br /> LOCATION BLOCK ID <br /> /�' / (IF APPLICABLE) <br /> L `drSfUiYi 12 13 <br /> DATER(�j APpPLIED ACRESIUNITS TR D <br /> COMMODIT <br /> Y/SITE TREATED <br /> 14 CJ / �-� 15 V 16 <br /> CHEM NUFACTURERNAME OF PROWCT APPLIED EPA/ ALIF.REGISTRATION NUMBER FROM LABEL TOTAL PRODUCT USED RATE DILUTION <br /> 17 19 19 20 21 22 <br /> ��. 1} <br /> -! ! � , <br /> W. OL OQ <br /> T. GA. <br /> UL OL PT. OT. OA. <br /> W. OL PT. OT. W. <br /> UL OZ. PT. W. Gn. <br /> OL PT. M. eA <br /> DAYS REENTRY DAYS PREHARVEST APPLIEDISUPERVISED BY OSP 01 53097 <br /> 2! 25 BS <br /> o Submit WHITE AND PINK COPY to the COUNTY AGRICULTURAL COMMISSIONER within 7 days of application. <br /> Form Distrubution: White copy-Agricultural Commissioner, Pink copy--DPH; Canary copy--Applicator, Goldenrod copy--Grower <br /> r <br />