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TATE (7F CALIFORNIAN <br /> DEPARTMENT OF FOOD AND AGRICULTURE <br /> PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> 14 1 q 9tp <br /> MONTH 1 YEAR 2 <br /> NURSERY 3 <br /> Page of <br /> OPERATOR ID/PERMIT NO. <br /> p O . 4 R) ADDRESS <br /> f � d CITY ZIP CODE <br /> 43 - L /P- 5 E0 fi 7 lA-1 IccrP 8 .s <br /> -2-,3(,o <br /> SITE ID NO. <br /> TOTAL PLANTED ACREAGE/UNIT COUNTY No.. SECTIONTOWNSHIP =ANGEBASE & MERIDIAN <br /> 9 ! 10 I 11 .-J 12 6 13 N <br /> COMMODITY/SITE TREATED 15 5 M H <br /> FIELD LOCATION <br /> 17 19 <br /> CHEMICAL DATE/TIME ACREAGE/UNR9 BLOCK CK ID EPA/CALIF. REG. NO. FROM LABEL TOTAL DAYS RATE DILUTION PROOU T/MANUFACTURER <br /> NUMBER APPLICATION TREATED METH. IIF PRODUCT USED REENTRY PER ACRE <br /> COMPLETED (CHECK APPLICABLE) <br /> 21 22 {CIRCLE ONE RE) <br /> 23 24DN0 25 2fi 27 OF MEA5UE1 28 29 30 31 <br /> 3 !3 ! I J� .. D PT QT GA I S(O g 1 00 <br /> OTHE <br /> _ /,A,rr <br /> B Z Li [1r r/�-� ^• A)I <br /> GR / <br /> 3�!3 AIR ❑ 1 ! o <br /> `LCC) / OTHER LB OZ[PTNGA OR <br /> AIR 6- <br /> r �JOTHER❑ B Z PT <br /> �3 v2-G -�� � � l r IDy7Crt♦ �f-�G�''P <br /> -3113 OR <br /> 1012 <br /> 0 <br /> OITHER❑ z LEI OT GA Z `CiQ .� 1!� .�lC%1� I�SLA.-C C'7(y(✓� <br /> OR ❑ IIJ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR 0 <br /> AIR ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT QT GA .w- <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR 0 <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR <br /> AIR <br /> OTHERE] LB OZ PT QT GAOR 11 <br /> �, •. P;j <br /> r.6 <br /> AIR ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER❑ LD OZ PT OT GA <br /> OR 11 <br /> AIR [] <br /> OTHER❑ LB OZ PT QT GA <br /> REPORT PREPARED BY -Q DATE 9 REVIEWED BY <br /> (1) . CAC Submit to Agricultural Commissioner within 10 day of month following application 33-017C(3190) For Agency Use Only <br /> 90 evzrs <br />