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DEPARTMENTTE OF PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PR-ENF-025{REV.2199) <br /> NURSERY <br /> COUNTYND. SECTION I TOWNSHIP4 RANGE BASES APP.METHOD P RMI ROPERTY OPERATOR APPLICATOR NAME AND ADDRESS <br /> - //�1 N ( J E MERlD1AN AA I] EUGENE <br /> /�► /► JL ` <br /> 1t OUND <br /> 3G/ 30 'S qv/ 5 M H OTHER❑ 6 7 ifUV � ♦,t%`, F_SE FARMS, <br /> OPERATOR IDIPERMIT NUMBER SITE IDENTIFICATI NUMBER TOTAL PLANTED t /'�/� <br /> /1 ACRESN 5475 VA!-' ......�_�4 �L..Jr1D. <br /> 0 0 o (Y'J�— g �"� / - ,a � ,_• X215 <br /> STO <br /> - BLOCK,D '' - ' <br />' LOCATION / (IF APPLICABLE) <br /> QZ/ /7l/L'/ V! � C � i2 13 <br /> DATErrIME APPLIED / JACRESIUNITS TREATED COMMO07YI_SIT,EwTREEATED <br /> iq 7� ©� 15 Vu/ 16 J V " `{iC//V L <br /> CHEM NO. MANUFACTURERINAME OF.PROD00TS APPLIED EPAICALIF.REGISTRATION NUMBER FROM LABEL TOTAL PRODUCT USED RATE DILUTION <br /> 17 18 19 26 _ 21 22 <br /> �r � - <br /> �/ LB, OZ. FT. OT. GA. (! <br /> LB. OZ. PT. OT. GA. <br /> dT.i 1 <br /> �•.•,� �OZ.i PTI i' GA,' <br /> - JLj <br /> LB- oz. PT. OT. GA- <br /> JAN 0 5 ?01H <br /> - _ Jp /�K LB. OZ. PT. OT. GA. <br /> �q i �.I• >i� A�S't,Qr'."�� r� <br /> . C.Q'71"!IIS C :i'0�Gc31.;-.P-r. . rr.: <br /> DAYS REENTRY -- DAYS PRE RVEST APPLI �FRWSEDY ' <br /> 24 / � f/ /4s 125 2 <br /> Submit WHITE AND PINK COPY to the COUNTY AGRICULTURAL COKMISSIONER wit in 7 days of application. <br /> Form Distribution:White copy—Agricultural Commissioner,Pink copy--DPR;Canary copy--Applicator,Goldenrod copy—Grower <br /> I <br /> I� <br />