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r7 r <br /> DSTATE OFEPARTMENT <br /> NTOFRNIA PRODUCTION AGRICULTURE 'MONTHLY PESTICIDE USEREPORT " -- <br /> f)EPAR7MENT OF PESTICIDE REGULATION <br /> PR-ENF-017C(REV.2199) <br /> Instructions Submit the white confr to the Agricultural Commissioner within 10 days of month following application. <br /> MONTH 1 YEAR 2 <br /> ' NURSERY 3 <br /> Page of <br /> OPERATOR IDIPERMIT NUMBER OPERATOR(GROWER) ADDRESS CITY e8ASE <br /> E <br /> 4 3 9 -00-.5,7o d fz JAMEm F2 rrn 6 rpoSS u�b-r�Wof�A RD, 7 Aero m-po- Z2_0 <br /> SITE IDENTIFICATION NUMBER TOTAL PLANTED ACREAGE/UNITS 1COUNTYINUMBER SECTION TOWNSHIP RANGE RIDIAN <br /> zd112 <br /> ''kk S 14 a H <br /> g 1U i1 �0 13 0�-k 1, <br /> COMMODITY/SITE TREATED FIELD LOCATION <br /> 17 <br /> CHEMICAL DATE/TIME ACREAGEAINITS APP. BLOCK ID EPA OR STATE REGISTRATION NUMBER TOTAL PRODUCT USEDDAYS DATE 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) <br /> 21 22 23 24 ONE) 25 2 27 28 29 30 31 <br /> GUAR r,go. w} <br /> r, r OTHER❑ ' LB O PT OT GA F- <br /> OTHER❑ r.. sL , (, LB W,P.T:OT--GAAIR <br /> 11 rr o/ <br /> OTHER❑ LB O PT OT GA d�A <br /> A;- QR <br /> 1/F <br /> AIR <br /> OTHER LB O PT OT GA <br /> GR r <br /> q AIR ❑ I� � v <br /> I s- ! 3 OTHER❑ 7 -6(..., LB� PT OT GA <br /> OR <br /> AIR <br /> OTHER LB PT OT GA <br /> J p <br /> OR 15 /� <br /> AIR /� <br /> OTHER p 7-4 LB DPT OT GA C Af PG a.- m <br /> !� GR <br /> Alp <br /> OTHER 0 LB A +PT QT GA <br /> GR <br /> s <br /> OTHER It _Z9 LB PT OT GA rSLL <br /> GR ►/ <br /> O j OTHER❑ ��( LB PT QT GA <br /> OR (J <br /> AIR r <br /> /S7 OTHER❑ t. LB O PT OT GA r <br /> D AIR <br /> OTHER❑ `]In LB/0-A PT OT GA 17 6- <br /> AIA » <br /> OTHER[] LS OZ PT OT GA <br /> GR dAJR <br /> _ <br /> OTHER Q LH, OZ PT OT GA <br /> . D�>l <br /> REPORT 1 SPARED BY DATE 11W <br /> Can <br /> REVIEWED 8Y <br /> USE ONLY <br /> Farm Distribution. Whits cocv-- unty Atiricutturmt Commisslonc; Pink copyDPR; Ganery-_. pplic�Yo r; <br /> cocEk -- Go3�f-:nYC+d--6+`pg�Olc :or _ <br />