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STATE OFCALIFORNIA PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION �D r <br /> PR-EMF-0170(REV.2/8B) [ <br /> Instructions: Submit the white copy to the Agricultural Commissioner within.10 days of month following application. <br /> MONTH 1 YEAR 2 <br /> NURSERY 3 page of <br /> OPERATOR IDIPERMIT NUMB EA OPERATOR(GROWER) ADDRESS CITY ZIP CODE <br /> 390 x#3_4 5 -JA IES �r 1�rTs .1006 ur./L�`�2Wow� Q,,j. 7 A��rv� I� B 952-2-0 <br /> SITE IDENTIFICATION NUMBER TOTAL PLANTED ACREAGE/UNITS COUNTY NUMBER - SECTION TOWNSHIP RANGE BASE A MERIDIAN <br /> g ' 10 A c Q e7S 11 12 il0 13 14 ©'7 W 15 3 H <br /> COMMODITY/SITE TREATED FIELD LOCATION <br /> n G R��r�S� e a�� 1e r a�'�5 L1 rte•��2 WOc3 � I�t <br /> CHEMICAL OATERIME ACREAGEAINITS APP- BLACK ID EPA OR STATE REGISTRAT10H NUMBER TOTALPROOUCT USED DAYS RATE DILUTION PRODUCT AND MANUFACTURER <br /> CODE NUMBER APPLICATION TREATED METHOD (IF (FROM LABEL) (CIRCLE ONE VNfT REENTRY PER ACRE <br /> COMPLETED (CHECK APPLICABLE) OF MEASURE) <br /> 21 22 23 24 ONE) 25 26 27 26 29 30 31 <br /> 7 AI <br /> Q�a� AC 2C OTHER p /00 96�_ <br /> " 50e:)0-3 ZA OZ PT OT GA L-0 �r PN a.c/>J�� Ca.bar�ao,3.r e11r6 <br /> 9 r AIR <br /> A C sO .. OTHER p l AW 14CI oL� ►a�� 1 17LsP� �oOiJG.ACS <br /> !3 T al /� ^fit 32A B OZ PPT.QT-GA ,..8_ <br /> OR 61 <br /> A-C Re MERAIR Q I �7 9�P - �a 97-4 L OZ PT OT GAl7 t P!}•E}G 1aV ol�� CA b&-PT' gOail-i h�(- <br /> lJ- LPO AGIR - <br /> S-4, r-T OTHER -561 -6( Z 9 3S LB PT OT. GA. SL+s- Dli� <br /> yI3-- 2 00 GR C] .IN <br /> ./ S . - OTHER AIR 'LB®PT QT GA. _, .. S.. -_ . . .. <br /> AIR +J� <br /> ! �'T OTHER ❑ LB O PT 'OT GA prW04 M A <br /> 12-7 QR <br /> MR Spr OTHER p _ .3 LB PT ^QT GA e�r 6 260! otJE t?V L <br /> 17 2� mR <br /> 34 �r OTHER 0 4 �- LB PT OT GA f�i�-GGi�ll FL--12 '°Q <br /> OR <br /> 27 AIRfil T LJ l <br /> OTHER _ _ "�q L <br /> '7 3-� B j2PT OT GA <br /> GR p <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GRAIR <br /> [1 <br /> OTHER❑ LB O <br /> - <br /> OR <br /> AR <br /> OTHER <br /> OTHER C3LB OZ A <br /> GR H OCT <br /> OTHER❑ LB OZ PT OT GAAIR <br /> ® {}� - <br /> 11101 IT <br /> OTHER[] LB'. Of' aM <br /> lip <br /> REPO T PREPARED BY DATE 7I-? / '2 REVIEWED BY FOR AOHNCY USE ONLY <br /> Form Distri ution: Whit®eopV--Gourtty A4rIcultuml Commissioner; Pin!¢copy--DPI ; CenmrV -0,pplicatoe; �alcla�n r✓sG..�"-poli::-hsraa <br />