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I r b <br /> STATE OF CALIFORNIA PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PR•ENF-017C(REV.2/99) <br /> Instructions: Submit the white cop to the Agricultural Commissioner within 10 days of month following application- <br /> 21L <br /> pplication. <br /> hi <br /> MONTH, YEAR 2 <br /> NURSERY 3 Page_of <br /> OPERATOR ID/PERMIT NUMBER OPERATOR(GROWER) ADDRESS CITY ZIP CODE <br /> ,3,q-c(3- t� 5 ZoTT^RC-CLL1 3 S. OLK."VC11 t/lAMT Ci', B <br /> SITE IDENTIFICATION NUMBER aa TOTAL PLAN(TIFID ACREAGE/UNITS COUNTY NUMBER SECTION + OWNSHIP RANGE BASE 6 MERIDIAN <br /> 10 — b� •� 17 �� 17 1 N _ E <br /> 9 ,2 113 L 11 5 S M H <br /> COMMODITY/SITE TREATED A FIELD LOCATION rSq �c>N-rAG E LO&S'TC!D G i3ETUU EeV <br /> 17 AL/\1oN� +B L-A '"l"10 1 �./`Y.. D C1 d�i/VV G7 1✓(�.D `-'`--/V <br /> CHEMICAL DATE/TIME ACREAGEAINR4 APP. BLOCK ID EPA OR STATE REGISTRATION NUMBER TOTALPRODUCT USED DAYS RATE ORUTION PRODUCT AND MANUFACTURER T— <br /> CODE NUMBER APPLICATION TREATED METHOD (6 (FROM LABEL) (CIRCLE ONE UNIT REENTRY PER ACRE <br /> COMPLETED (CHECK APPL)CABLE) OFMEASURE) <br /> ONE) 27 28 29 30 31 <br /> 27 23 2a 25 26 <br /> a2:� mHEA❑ GLPA �2L4 --4-7s Y I . 25 ib�Nc�� A40NLB 07 PT OT A <br /> IRR❑ EFA`707--'243 LB OZ10-aT GA l �OZGR OUR2s moo - F i-aM --E aS <br /> OTHERO AL `Jcld5 LB OZt T CIT �(� �1 D �I <br /> OR ❑ <br /> AIR cl <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR <br /> OTHER LB OZ PT OT GA <br /> GR L1 <br /> NR L <br /> OTHER[] LB OZ PT OT GA -. <br /> GM ❑ <br /> NR ❑ <br /> OTHER F <br /> LB OZ PT OT GA <br /> OR LB OZ PT OT GA <br /> LB OZ PT OT GA <br /> AIR <br /> OTHER LB OZ PT OT GA _ �--�-�-- <br /> GR I T J pry ll.e i' <br /> NR g <br /> OTHER❑ LB OZ PT OT GA _ <br /> �/I 7 Y <br /> AIR 8 L•s 3T <br /> OTHER❑ LB OL PTMR Ll <br /> OT GA <br /> GR M INA S <br /> OTHER❑ LB OZ PT OT GA AGR, <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LS OZ PT OT GA <br /> REPORT PREPARED BY DATE `� ( (b " �2- REVIEWED BY <br /> F.m Distrihutiorl: Whits tory--County R:aricuttural Commissioner, Pink copy--DPH; Canarr--Applicattor, Goldenrod-ADA IiG :1+ _ _FOR AGENCY USE ONLY <br />