Laserfiche WebLink
ErATEOFCALIFOIRNIA PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PR.ENF4326(REV.2A9) <br /> NURSERY APPLICATOR NAME AND ADDRESS <br /> I OOVNTY XO. RECTION TOWNBHP RANGE BASE& APP.METHOO PERMITTEE/PROPERTY OPERATOR' SYS <br /> I raJ a NIle pRDUND <br /> a A W OTHER <br /> OPERATOR IDIPERMIT NUMBER SITE IDENTIFICATION-NUMBER TOTAL PLANTEO <br /> h B3q_ Ds Lr � B NT <br /> S <br /> LOCATION BLOCK ID <br /> f (IF APPLICABLE) <br /> �J +b <br /> i/y4e; �/J i�c. 12 13 <br /> DAII lr1ME APPLIED AMMMUNITS TREATED COMMODI !SITE TREATED <br /> /A <br /> -03-wr Arl- 16 i4Cn/[�J <br /> CHEM NO. MANUFACT URERlNAME OF PRODUCT APPLIED BPAICALIF.REGISTRATION NUMBER FROM LABEL TOTAL TAPRODUCT USED 21 RATE ELUTION <br /> 17 1S <br /> oz. Pr. QT. GA. <br /> .i" �+ 1- ° - '•LB. oz..�Pr.F <br /> QT. GA. <br /> GA. <br /> L& OZ. vr. or. GA. <br /> La. oz:'Pr OT. GA. <br /> LB. OZ. Pr. QT. CLI. <br /> ? =DAysRMEr:NETRy/� "25 <br /> EST APPLIE ERViS£D BY l -7 OSP 41 63497 <br /> II' 24 EJ26 <br /> f • Submit WHITE AND PINI(COPY to the COUNTY AGRICULTURAL COMMISSIONER within 7 days of application. <br /> :t Form Distrubution; White copy--Agricultural Commissioner Pink oopy--DPR; Canary copy--Applicator, Goldenrod copy--Grower <br /> I. <br /> n <br /> F <br /> f <br />