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SUARTOF MENCALIFORNIA PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PR-ENP-017C(REV.2/99) <br /> Instructions: Submit the white cony to the Agricultural Commissioner within 10 days of month following application. <br /> A � <br /> wl ' ! � <br /> 2 <br /> MONTH 1 YEAR 2 <br /> NURSERY 3 <br /> Page of <br /> OPERATOR IDIPERMIT NUMBER OPERATOR(GROWER) ADDRESS CITY <br /> -- ZIP CODE <br /> ^ 15 1-.-- �61303 9 S C19 7 S533 <br /> SITE IDENTIFICATION NUMBER TOTAL PLANTED ACREAG /UNI 15 �IOUNTYNUMBER SECTION TOWNSHIP RANGE BASE S MERIDIAN <br /> 9 10 �2• S 11 12 1 i13 j 0 14 E 15 S /ry H <br /> COMMODITY/SITE TREA-TE/D��J) FIELD LOCATION q�� ('�j�: 1TAG i, t JT S �Yi+ , yGaA� <br /> CHEMICAL DATE/TIME ACREAGE/UNrrS APP. BLOCK ID EPA OR STATE REGISTRATION NUMBER TOTAL PRODUCT USED DAYS TE DILUTION PRODUCT A D MANUFACTURER <br /> CODE NUMBER APPLICATION TREATED NETNOD (1P (FROM LABEL) (CIRCLE ONE UNIT REENTRY PER ACRE <br /> COMPLETED (CHECK APPLICABLE) OF MEASURE) <br /> 21 22 23 24014 E) 26 26 27 28 29 .�p. 30 31 <br /> AIR Cf <br /> X12:5 OTHER❑ EPA x/24'44-,J LB Z T O 6 OT GA "C(/,+y� 1 1�-5 11 <br /> OR <br /> 1 ,� AIR E A 42 -lq � l 1� <br /> I •A Y\ OTHER❑ —� <br /> OR --7 LB OZ PT OT CA `' y� _L�� ,' H/ 1 ,, <br /> 1 I+ AJA <br /> OT ❑ -- !7 LB CZ OT GA I� 30 i ti s/`7 !!! 111 T7 <br /> OTHER❑ <br /> OR ❑ <br /> AIR <br /> OTHER LB OZ PT OT GA <br /> GR ❑ <br /> AIR <br /> OTHER LB OZ PT OT GA <br /> GA <br /> AIR <br /> OTHER LB OZ PT QT GA <br /> GR ❑ <br /> Al ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> GR ❑ <br /> AIR ❑ I <br /> OTHER❑ L8 OZ PT OT GA { <br /> GR ❑ <br /> AR <br /> OTHER <br /> LB OZ PT OT OA <br /> GR ❑ <br /> NR ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> an ❑ <br /> AR ❑ <br /> omER❑ LB OZ PT OT GA <br /> GR <br /> AIR <br /> OTHER❑ LB OZ PT OT GA A"• j._, i - •I i~ <br /> OR <br /> ❑ ft�� c <br /> AIR � 1 <br /> OTHER(] LS OZ PT OT GA <br /> ++2 ^ �� <br /> REPORT PREPARED BY DATE L REVIEWL�D SY <br /> Forth Distribution: White coL <br /> , nty Anncultural Commissioner Pink copy--DPR; CF..nary--Applicator, Goldenrod--Applicator FOR AGENCY USE ONLY <br />