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I I I I I I I <br /> STATE OF CALIFORNIA PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT 003 DEPARTMENT OF PESTICIDE REGULATION <br /> PR-ENF-017C(REV.2/99) <br /> Instructions: Submit tho white gQAy to the Agricultural Commissioner within 10 days of month following application. <br /> c` <br /> MONTH 1 YEAR 2 <br /> NURSERY 3sj <br /> (i 1) <br /> L Page of <br /> OPERATOR ID/PERMIT NUMBER OPERATOR(GROWER) ADDRESS CITY ZIP CODE <br /> nn � <br /> 4_� � y e1c4rht_ s � C(,rf <br /> SITE IDENTIFICATION NUMBER TOTAL PLANTED ACREAGE/UNITS �COUNTYNUMBER SECTION TOWNSHIP RANGE BASE 6 MERIDIAN <br /> "wP J� j'V iN 3 L--)V(/ N Us E <br /> g /, 10 ti's L_ 11 12 13 S 14 W 15 S M H <br /> FIELD LOATIONd <br /> —tA,iNl- i,COMMODITY/SITE TREATED <br /> )Ae 4 f <br /> r w�r'ni r u. i ✓ A l i `5 ( .i _� �� <br /> 17 <br /> CHEMICAL DATE/TIME ACREAGEMNRS APP. BLOCK ID EPA OR STATE REGISTRATION NUMBER TOTAL PRODUCT USED DAYSRATE DILUTION PRODUCT AND MANUFACTURER <br /> CODE NUMBER APPLICATION TREATED METHOD (IF (FROM LABEL) (CIRCLE ONE UNIT REENTRY PER ACRE <br /> COMPLETED (CHECK APPLICABLE) OF MEASURE)ONE) <br /> 21 22 23 24 25 26 27 28 29 30 31 <br /> AIIR o �iUid �ZT / .i it �J y� j ��>`,� d�J�: 4_ ui, ��y jd01= <br /> El <br /> • 4_ :off OTHER LB OZ PT QT GA` f <br /> 4- <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER ❑ LB OZ PT QT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> GR ElAIR ❑ <br /> OTHER ❑ LB OZ PT QT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ L8 OZ PT QT GA _ <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> REPORT PREPARED BY �ti� f tL DATE '� "3 REVIEWED BY <br /> Folin Distribution: While copy--County Agricultural Corr one ; Pink copy--DPR; Canary--Applicator, Goldenrod--AppGcalor FOR AGENCY USE ONLY <br />