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oI5TR1BlPTO .ortrr HAL —CouNTY Stnte of Califarria <br /> 1STCOPY .-.APPUCATOR DEPARTMENT OF FOOD AND AGRICULTURE <br /> 2ND COPY—STATE INFORMATION SERVICES BRANCH ►, <br /> 1 MONTHLY SUMMARY PESTICIDE USE REPORT DATE SUBMITTED <br /> OPERATOR IFFRF,1 NAME] N <br /> COUN7Y IWH ERE AP PLIE❑] ICOUNTY NO IMONTH/YA GIF USE NAME of PERSON RESPONSIBLE FOR REPORT <br /> 92te;, m <br /> apoREss circ +P cone SUBMIT ORIGINAL AND SECOND COPY TOTHE <br /> PC) COUNTY AGRICULTURAL COMMISSIONER <br /> PHONE NV MBER LICEN SE NUMBER �RESTFI'CrrD MATERIAL PERMIT NO. TOTAL NO. OF BY THE 10111 OF THE MONTH FOLLOWING N <br /> APPLICATIONS <br /> y - 11 .3 THE APPLICATIONS- o-' <br /> cn <br /> - COMPL ETE COLUMNS A, B, C AND D FOR ALL U5ES- USE DEFINMONS <br /> IF USE IS: CODE IF USE IS: STRUCTURAL PEST CONTROL—any pest control work performed within or Qr+ <br /> buildings and other structures. This includes work done by a licensed w <br /> -STRUCTURAL PEST CONTROL.............. 1 -COMMODITY FUMIGATION structural pest control operator. W <br /> -LANDSCAPE MAINTENANCE.................. 3 -SPOT TREATMENT LANDSCAPE MAINTENANCE—any pest control work performed on landscape � <br /> -RrG#fT•OF-wAY............ p <br /> ............................ 4 —SEED TREATMENT N <br /> plantings around residences,or other buildings,golf courses,parks,schwa! 00 <br /> -PUBLIC HEALTH PEST CONTROL,...... 5 _OTHER (AS PERMITTED BY grounds,cernetaries,etc. 00 <br /> -VERTEBRATE PEST CONTROL............ B THE COUNTY AG. COMM.) <br /> -REGULATORY PEST CONTROL.....-__...- 14 RIGHT•C►F WAY — any pest control work performed along or on roadsides, <br /> power lines, ditch banks and similar s+tes- <br /> TH EN: THEN. PUBLIC HEALTH PEST CONTROL—❑ny pest control work performed by orunder <br /> •ENTER CODE IN COLUMN E a LEAVE COLUMN E BLANK contract with State or local public health or vector control agencies. <br /> • LEAVE COLUMNS F& G BLANK • FILL IN COLUMNS F B G REGULATORY PEST CONTROL �—any pest control,work performed by public <br /> employees or contractors in the control of regulated pests- <br /> iMANUFACTUJ ER AND REGISTRATION NUMBER FROM LABEL -TOTAL PRODUCT USED NUMBER OF COMMODITY OR SITE I ACRES/UNITS <br /> NAME OF PRDDIJCTAPPLIED INCLUDE ALPHA CDDE (Circle One Untrof Measure)APPLICAT10% CODE TREATED TREATED <br /> la? ►� j �7R}ILes 42—+ co <br /> 1 L:B / PT OT GA fi �. Cfl1ft'72. Z <br /> niavAarts foo - LB PT QT . GA Civ q� 1> <br /> _ <br /> j,&fA9,AT14a,,,j �� P.h-TE 444>� LB � PT QT GA <br /> e DVL •+fly ( fi <br /> C7 <br /> 4 o <br /> LB OZ PT OT GA <br /> 5 _ _ <br /> LB OZ PT QT GA <br /> 41 <br /> LB OZ PT QT GAfl <br /> 7 _ _ 5�m_ <br /> LB OZ FT SIT GA QQ4 <br /> 8 <br /> LB OZ PT oT GAD <br /> GRIC.COMM,. <br /> L Dl <br /> M <br /> LB 0Z PT QT GA � <br /> 10 _ <br /> LB OZ PT QT GA <br /> 39-050 f R E V,6/gg F aBD2fi <br />