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Thursday, June 10, 2004 PMIS-0188B <br /> rev. 02/28/02 <br /> Pesticide Use Report <br /> Nursery County Section Township Range Base B Meridian Method Applicator Name B Address <br /> ❑ 39 25 01S 09E M Air Hawke Ag Aviation <br /> P.O. Box 1133 <br /> _ Permitee/Customer Operator/D/Permit# Site ID# Oakdale, CA 95361 <br /> GREEN, RICK 39-04-3903187 GREEN F. 6-2C Inv. #: 1569 <br /> Total Acres Planted Location Block ID(if applicable) <br /> 35.00 E/HENRY S/RICE LN <br /> Date 8 Time Applied AreaTreated Commodity/Site Treated <br /> 06/05/2004 07:15 A- 07:40. 35.00 ac. Rice <br /> Product 8 <br /> Chemical# Manufacturer EPA Re .# Total Applied Rate per Acre Dilution <br /> SUPER WHAM! CA 71085-00005-ZA-00000 35.00 GL 1.00OGL 20 <br /> RNA CROP OIL CONCENTRAT 1050990-50012-AA-00 35.00 PT 1.000 PT 20 <br /> 20 GALLON AIR CHARGE 35.00 AC 1.000AC 20 <br /> Hours Reentry Days Preharvest Application Supervised by., Shane Sperry <br /> 48 60 Yellow W/green <br /> Submitted by Date: Time: <br /> ROSALYN SPERRY 06/10/2004 10:44 am <br /> Received by Box No Date Time <br /> submit to AGRICULTURAL COMMISSIONER within 7 days of application <br /> q ¢. <br /> AGR, <br /> d� ryry <br />