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f'Sl Or .�.1 <br /> TE" CA <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> MONTH 1 YEAR 2 <br /> NURSERY 3 <br /> Page—of <br /> OPERATOR ID/PERM{T NO. Q OPERAGRER) ADDRESS CITY/ ZIP CODE <br /> S 6 7 / / •3:3 <br /> 4 ^ L _L � LJyy /J <br /> SITE ID NO. TOTAL PLANYED ACREAGE/UNITS NTY NO. SECTIONj�'�j TOWNSHIP RANGE co BASE & MERIDIAN <br /> 9 <br /> l ..r 10 11 12 13 14 W 15 $ M H <br /> COMMODITY/151TE TREATED FIELD LOC-BION <br /> 17 !� {J 19 /� 0"/O 41/S qt <br /> CHEMICAL QATE/T1ME ACREAGE/UNITS APP. BLOCK ID EPA/CALIF.REG. NO.FROM LABEL TOTAL DAYS RATE DILUTION PRODVCT/MANUFACTURER <br /> NUMBER APPLICATION TREATED METH. {IF PRODUCT USED REENTRY PER ACRE <br /> COMPLETED (CHECK APPLICABLE) (CIRCLE ONE UNIT <br /> 21 22 23 24 NEI 25 26 27 OF MEASURE( 28 29 30 31 �!f$ <br /> 4i Ix <br /> AIR El /+�/� A LB <br /> OTHER❑ L1V.•. (J�J� ' PT OT GA ! 0� �'�i� ' •b��7"+ C B <br /> -serf i� 2 y� <br /> '10♦✓n <br /> AIR <br /> ' LB OZ PT QT G ✓ 1 <br /> . .+.• G~' / GR <br /> AIR Cl /O <br /> OTHER Q V V LiL./Y�' LBT T G <br /> �o A O4- C,� �r �'y I►-J t/1{{..�C R... <br /> GR ❑ <br /> AIR [] <br /> OTHER❑ LB OZ PT QT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR C7 <br /> AIR. ❑ <br /> OTHHR0 LB OI PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> I17 � <br /> GR <br /> II I <br /> AIR ❑ _ <br /> ,t D OTHER❑ L9 OZ PT QT A <br /> GR ❑ { <br /> AIR ❑ <br /> OTHER Cl LG OZ PT QT GA <br /> GR 0 <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR U E E i5 Yi E <br /> OTHER[I LB OZ PT OT GA VVV <br /> GR El <br /> AIR 0 <br /> OTHER❑ LB OZ PT OT GA JUN 0 <br /> GR Cl <br /> AIR ❑ <br /> OTHER U LB OZ PT OT GA /'+ ` p <br /> GR IJ <br /> AIR ❑ <br /> OTHER[] LB OZ PT OT GA <br /> REPORT PREPARED BY i ' �49 'A, �'�` f DATE A REVIEWED BY <br /> viihit1 it days of month following PR-E4-0176 (Rev 1195) For Agency Use Only <br /> ff l nv, <br />