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Monday, May 10, 2004 PMIS-0188B <br /> rev. 02/28/02 <br /> Pesticide Use Report <br /> Nursery County Section Township Range Base 8 Meridian Method Applicator Name 8 Address <br /> [] 39 25 01S 09E M Air Hawke Ag Aviation <br /> P.O. Box 1133 <br /> Permitee/Customer Operator ID/Permit# Site ID# Oakdale, CA 95361 <br /> GREEN, RICK 39-04-3903187 GREEN F. 6-2C Inv. #: 1412 <br /> Total Acres Planted Location Block ID(if applicable) <br /> i35.00 E/HENRY S/RICE LN <br /> Date& Time Applied AreaTreated Commodity/Site Treated <br /> 05/05/2004 12:10 35.00 ac. Rice <br /> Product 8 <br /> Chemical# Manufacturer EPA R .# Total Applied RateperAcre Dilution <br /> 66196 BOLERO 15G 59369-00112-AA-00000 934.50 LB 26.700 LB 0 <br /> Valent <br /> DRY CHARGE 35.00 AC 1.000AC 0 <br /> Hours Reentry Days Preharvest Application Supervised by: Steve Sperry <br /> 24 0 Yellow W/green <br /> Submitted by Date: Time: <br /> ROSALYN SPERRY 05/10/2004 4:05 pm <br /> Received by Box No t Date I Time <br /> submit to AGRICULTURAL COMMISSIONER within 7 days of application <br /> jrr <br />