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( I <br /> STATE OF CALIFORNIA <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> MONTH 1 YEAR 2 <br /> LJ NURSERY 3 <br /> Page of <br /> OPERATOR IO/PERMIT NO. OPMRATOR (GROWER) ADDRESS CITY ^ ZIP CODE <br /> SITE ID NO. i TOTAL PLANTED ACREAGE/UNITS COUNTY NO. SECTION �j TOWNSHIP )) RANGE BASE& MERIDIAN <br /> g �A 10 G�'2 „ 12 4 13 4 S 14 15 S H <br /> COMMODITY/SITETRGATED k FIELD LOCATION4:5,t 61 (:�tj17 <br /> y� (,,♦�(�� !�jtl�t� �jC. l�C91^"���( <br /> CHEMICAL DATE/TIME ACREAOE/UNITS APP. RIL[:K ID EPA/CALIF.Rhe.NO. FROM LABEL TOTAL DAYSRATE DILUTION PRODUCT/MANUFACTURER <br /> NUMBER APPLICATION TREATED METH. flT PRODUCT USED REENTRY PFw ACRE <br /> COMPLETED (CHECK APPLICABLE) (CIRCLE ONE UNIT <br /> 21 22 23 24 NEI 125 26 /� l l 27 OF MEASUR ) 28 29/';' 30 31GR <br /> 0 --C�'' -} <br /> OTHER❑ �A t /., f�}�,�f t •I ` L{ I✓V G+ 11�.�4L-//11 <br /> 55 <br /> ✓��"'L. AOT ❑ 'C,/ l C-�4 LB OZ T GAS l� t J <br /> GR <br /> C+ f( AIR ❑ <br /> OTHER❑ LR OZ'PT TOGA � �' ) / J <br /> GR <br /> AIR <br /> ,tI `, OTHER❑ L _ (� LB OZ PT QT GA p( ( f1y-y� 1 y <br /> 2-2/4 -CV <br /> ' ^�y� OTHER❑ b ` C-K✓I`� „ -L B Z PT GA R Atf <br /> ` f. 1./4/ 1 of moi'C C o. _ <br /> GRAIR _ <br /> (1 c OTHER 09fir' •CJ V l,� I LB OZ PT 1' GA C�L ,J <br /> GR G <br /> AIR ❑ <br /> OTHER❑ LB 07.PT OT GA <br /> GR ❑ <br /> AIRE)OTHER❑ Lb OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> (OTHER❑ LB OZ PT QT GA <br /> GRO <br /> AIR ❑ <br /> OTHER C3 LB OZ PT OT GA <br /> GR ❑ ':h .... ... .. I <br /> AIR 13OTHER❑ LB OZ PT QT GA tai <br /> GR 112 <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA ' <br /> El <br /> AIR 0 <br /> OTHER El LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> GR ❑ <br /> AIR ❑ <br /> p ❑1 ,.� LB OZ PT OT GA <br /> 1 <br /> REPORT PREPARED BY - DATE 2— Z22 REVIEWED BY <br /> CAC <br /> Suhmit to Agricultural Commissioner within 10 days of month following application PR-ENF-017C (Rev 1195) For Agency Use Only <br /> d'1 <br />