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STATE OF CALIFORNIA PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULAnON <br /> PR.ENF-017C(REV.2/99) <br /> Ins(ructions: Submit the w�h)it/�ey-e//Q to the Agricultural Commissioner within 10 days of month following application. <br /> EA lJ ,_.2 <br /> MONTH IYEAR <br /> NURSERY 3 Page___of <br /> ' ADDRESS CITY ZIP CODE <br /> OPERATOR ID/PERMIT NUMBER OPERATOR(GROWER) <br /> - - VARF,C L 6 �:30 is-- <br /> E5�'3_6 <br /> SITE IDENTIFICATION ER ic TOTAL PLANTED ACREAGE/UNITS COUNTY NUMBER. <br /> SECTION TGWNSHIP 1 RANGE BASE b MERIDIAN <br /> 9 f _.._. 10 1 11 1? 13 L N 14 F,, S i H <br /> l FIELD LOCATION C�C] f'_rRo tr—t#4 ±C ROAD -- W E574S l D e% <br /> COMMODITY/SITE TRUTEU i 1 -S"C fV 1�'C=Z ROAD <br /> A = c C, .�n d- lea'�I:A �<a� <br /> 17 8 <br /> CHEMICAL <br /> DAT WE ACREAGENNITS APP. BLOCK ID EPA OR STAT'E REGISTRATION NUMBER TOTALPRODUCT USED DAYS RATE UILUTICN PRODUCT DMANUFACTURER <br /> CODE HUMBER APPLICATION TREATED METHOD (IF (FROM LABEL) (CIRCLE ONE UNIT REENTRY PER ACRE <br /> COMPLETED (CHECK APPLICABLE) OF MEASURE) <br /> 21 22 23 24 ONE) 25 26 !27 128 29 30 31 <br /> _........__. <br /> AIR 77-L I ll 45 OTHERU �9� D�" i LB OZ IT or 'A' � <br /> — GR ❑ <br /> AIR ❑ <br /> OTHER Q LB OZ PT OT GA <br /> OR U <br /> AIR ❑ <br /> OTHER L9 OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR C ---� <br /> AIR <br /> OTHER LB OZ PT OT GA <br /> AIMR <br /> OTHER❑ LB 07 PT OT GA -..._ <br /> GR <br /> MR L <br /> OTHER❑ LB OZ PT OT GA f <br /> I ■ <br /> AIR \\ <br /> OTHER LB OZ PT OT GA <br /> GR ❑I <br /> AIH <br /> OTHER 1.9 OZ PT OT GA _....._..... <br /> .._.... <br /> CIA ❑ <br /> AIR ❑ <br /> OTHER E] LB OZ PT OT GA Gi �' 'T1 '` Y1-1-W--'etc. <br /> GA <br /> AIR ' <br /> OTHER❑ LB OZ PT OT GA 4 r <br /> GRAIR <br /> r <br /> OTHER r' LB OZ PT CT GA <br /> A 'J rT'+r/iI 3a 4w3C MI !. oi1,V-P-:tt) <br /> OTHEH[J LB OZ PT CT GA <br /> GR D <br /> AIR 0 <br /> OTHER❑ LB OZ PT OT GA <br /> o], <br /> REPORT PREPARED 8Y L DATE L5 -Q- j REVIEWED BY___ <br /> Stan .-nAnnlicntnr rf,&4nn in --Anuli gtnr I FOR AGENCY USE ONLY <br />