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STATE OF CALIFORNIA PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PF,ENF-026(REV.MIS) <br /> NURSERY <br /> cOONrY No. I 6ECi ON I TOWNSHIP MNOE SASEs APP.METHOD PER ITEEPROPERTY OPERAT APPLICATOR NAME AND ADDRESS <br /> �t MERiouH AIRO <br /> s 1V 8 N Qn N ` <br /> J 6 5 OTHER L CLt^ � <br /> OPERATORIDPERMITNUMBER SITEIDENTIFICATIONNUMBER TOTA PLANTED <br /> ACJERRY ATKINS <br /> ry <br /> 10 : �RESNNITS <br /> 12332 E. Hwy 26 <br /> LOCATION BLOCK ID Stockton, CA 95215 <br /> (IF APPLICABLE) <br /> DATETIME PLIED ACRESAINITS TR TED COMMODITYISITE TREATED <br /> 1 dr-s- <br /> 15 _ n 16 <br /> CHN0. MANUFACTURERMAME OF PRODUCT APPLIED EPA/CALIF, EGISTRATION NUMBER FROM LABEL TOTAL PRODUCT USED RATE DILUTION <br /> 17 18 <br /> 1B 20 21 22 <br /> /-/• to oz. oT. w. 6 <br /> La <br /> Oz W. <br /> I.S. O m. <br /> I.B. OZ. Pf. W. OA. <br /> W. OZ. Pf. OT. M. <br /> W. OZ. Pr. OT. DA. <br /> DAYS REENTRY DAYS PREHARVEST APPLIED'SUPERMSED BY l�EOSP 61 63497 <br /> 24 2s 2S <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 />