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STATE OF CALIFORNIA STATE OF CALIFORNIA PRODUCTION AGRICULTI AE iAONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION DEPARTMENT OF PESTICIDE REGULATION <br /> PR-ENF-017C(REV.2199) PR-ENF-0170(REV.2/99) <br /> instructions: Submit the A Instructions: Submit the white cove to the Agricultural Commissioner within 10 days of month following application. <br /> NTH YEAR 2 r" , <br /> YL <br /> MONTH1 YE <br /> C� NURSERY 3 = NURSERY 3 Page T OI <br /> OPERA OR fDTPERMIT NUMBER OPERATOR ID/PERMIT NUMBER O�PEERRATORR'((GGROWEER))--I ' �7�.` ►�,�J ADIDRESS C i CIT/Y�/� � ZIP CODE <br /> a� ���J �j�- 6 1 L?• –L 7 !v �/, 8 ��_. <br /> SITE IDENTIFICATION NUMBER SITE IDENTIFICATION NUMBER ` 1 TOTAL PLANTED ACREAGE/UNITS COUNTY NUMBER U SECTION TOWNSHIP RANGE BASE b MERIDIAN <br /> I - A S ~ 1 A 10 � 11 � 1 112 1' 13 N 14 E 15 S M M <br /> 9 <br /> 9 COMMODITY/SITE TREATED FIELD LOCATION ry� t.••+ T^ �. �c.^��p ��G <br /> COMMODITY/SITE TREATED ALM, <br /> /� �``� �a.�r� j��'!_ ``--�1 l'1❑�-fC,.�� /�(;� VV �j <br /> 17 - CHEMICAL DATE/TIME ACREAGFJUNITS APP. BLOCK ID EPA OR STATE REGISTRATION NUMBER TOTALPRODUCTUSED DAYS RATE DILUTION PRODUCT AND MANUFACTURER <br /> CHEMICAL DATE/TIME ACREAGFI CODE NUMBER APPLICATION TREATED METHOD (IF (FROM LABEL) (CIRCLE ONE UNR REENTRY PER ACRE <br /> CODE NUMBER APPLICATION TRFAT1 COMPLETED (CHECK APPLICABLE) OF MEASURE) <br /> 21 22 COMPLETED 23 — 21 22 23 24ONE) 25 26 27 26 29 30 31 <br /> j •(� I AM32:30-t OR - <br /> ❑ SPA E 24-47.5 LB Oz PT TGA �� �(.�U��L✓ �d <br /> OR <br /> tf tl CI it ot11ER p L D LB OZZIT�OT GA � ./ <br /> dR ❑ <br /> AIN ❑ <br /> t1 11 OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR L]OTHER❑ LB OZ PT QT GA _ <br /> OR ❑ <br /> AIR <br /> OTHER H LB OZ PT OT GA <br /> OR ❑ <br /> NR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR <br /> OTHER� L8 OZ PT OT GA 1 <br /> OR ❑ <br /> NR <br /> OTHER LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTS❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR <br /> ER❑ <br /> OTH ❑ LB OZ PT QT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT QT GA i4 `.OREl <br /> AIR ❑ <br /> V [`(T[':) OTHER❑ LB OZ PT QT GA <br /> OR n <br /> NR <br /> OTHER❑ LB OZ PT OT GA " " ' =ti :._'"` • <br /> AIR <br /> ❑ LB OZ PT OT AL-) <br /> OTHER <br /> REPORT PREPARED BY ( DATE ZA1� REVIEWED BY <br /> REPORT PREPARED BYC FOR AGENCY USE ONLY <br /> Orn Distribution: Whitt tory-Go Form Distribution: `Nhita copy--County,Agricultu?'al C0MrnisSi0;;9T; Pink copV--PPR; Canar,--,Appiica.ior; Goldenrod--Applicator <br />