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STATE DEPARTFENTOFPES PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PA•ENF-017C(REV.2(99) <br /> Instructions: Submit the white ceR to the Agricultural Commissioner within 10 days of month following application. <br /> oc�vb�3r�2 �aac� _ <br /> MONTH 1 YEAR 2 <br /> NURSERY 3 <br /> Page of <br /> OPERATOR IOIPERMIT NUMBER OPERATOR(GROWER) ADDRESS CITY ZIP CODE <br /> 439-pp-3 90Z)a4c s JA-Mts P-g fr-rs is/(odd Uubs7 ArC'4MFlo <br /> SITE IDENTIFICATION NUMBER TOTAL PLANTED ACREAGEIUNITS COUNTY NUMBER SECTION TOWNSHIP RANGE A MERIDIAN <br /> 9 f 10 ��0 -5 • Pr 11 12 /O 13 (D J4 114 S 14 D 7 �BASE <br /> 15 S M H <br /> COMMODITY/SITE TREATED FIELD LOCATION <br /> 17 G4aui�1D etiVr ,9 /,0055u�:r �N1b9� .*leisrMPD <br /> CHEMICAL DATE/TIME ACREAaEl '� APP, BLOCK ID EPA OR STATE REGISTRATION NUMBER TOTAL PRODUCT USED DAYS RATE DILUTKIN PRODUCT AND MANUFACTURER <br /> COD£NUMBER APPLICATION TRF�1T@U METHOD (IF (FROM LABEL) (CIRCLE ONE UNIT REENTRY PER ACRE <br /> COMPLETED (CHECK APPLICABLE) OFMEASUR£) <br /> 21 22 23 24 ONE) 25. 26 27 28 29 30 31 <br /> On (� <br /> AR <br /> OTHERO LBZ PT OT GA ' U <br /> AIR <br /> OTH/70LB OZ PT.QT..GA ` <br /> OTHER❑ LB: SPT OT GA U <br /> 7 OR T"-I- -r&spAIR <br /> r <br /> I aQ C> OTHER� t® r_�(� � LB '"'{PT OT GA ! <br /> r 1 AUR �!$ P <br /> OTHER �D... LB y�T QT GA <br /> 14TIz 'TSP <br /> Ifs o o R MER.© LB I.. . PT OT GA V <br /> 1 A. Q A 0 fI� <br /> OTHER E7 14a f LB OZ PT OT GA <2141PCO 2bi y <br /> I <br /> OR { +fes <br /> /�.DC OTRHER p 7969 L8Oz PT OT GA LSL <br /> AIR <br /> I5 OTHER -r LB in PT OT GA DL.1 <br /> 'fz <br /> 2AIR <br /> Ti OTHER❑ Q� ' 'L��. LB Z PT QT GA L+ bf.I u <br /> �- ORAIR <br /> OTHER❑ :56/ 5It B PT OT GA VS <br /> Z!1 OR J14 <br /> /53 OTHER❑ --3t)57 LB O PT QT GA �- <br /> OR <br /> AIR LJ - - ` •a ..: <br /> OTHER❑ LB OZ PT OT GA L" <br /> an ❑ _ <br /> uR ❑ N 0 V <br /> OTHER❑ LR OZ PT OT GA <br /> REPO T�PREPARED BY � °. � __ DATE / t7 REVIEVXWMSL'"� <br /> c.,. n:.-..:a.�.s.•.., tnr..:a.. K.._r'-......n,n...,....io.....�F•..........- -....,.�. o::.sx.-nv�v._FIPr�• S':.nnnsv--A.nxiEir7''n 1: t'P!CFCa;�7JEI�-.��S7r�1iC�74:�� Al 's �,r Y <br />