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I i i I I i L i i 1 i I I I I i I i i <br /> TATE OF C/ NlA <br /> t`PARTMENT PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> OF OF PESTICIDE REGULATION <br /> rR-C-AF-Oi7C(REV-2199) <br /> nstructions: Submit the white cto the Agricultural Commissioner within 10 days of month following application. <br /> +.ON H T 1 YEAR 2 <br /> NURSERY 3 <br /> Page A_of <br /> :,PERATOR IDIPERMIT NUMBER OPERA/TSO"R(GROWER) �ADDFIESS A <br /> CITYnay r� ZIP CODEC- 6 V U •••f r +` , . 7 Cxz t-i V 8 � <br /> 'TE IDENTIFICATION NUMBER TOTAL PLANTED ACREAGE/UNITS C NTY NU BER SECTION TOWNSHIP NGE BASE S MERIDIAN <br /> r E <br /> lic d 11 I.- �12 � �1, 14 O 15 5 H <br /> OMMODITYISITE IREATED�j FIELD LOCATION <br /> 7 Y 'VC" 19 L L/j C��.0 V ✓�1�-i "Vf��t <br /> CHEMICAL OATEfTlIAE ACREAGEIUNrr6APP, BLOCK ID EPA OR STATE REGISTRATION NUMBER TOTALPRO DUCT USED DAYS RATE DILUTI PRODUCT AND MANUFACTURER ` <br /> ODE NUMBER APPLICAVON TREATED METHOD IIF (FROM LABEL) (CIRCLE ONE UNIT REENTRY pEA ACRE <br /> COMPLETED (CHECK APPUCABLE) OF MEASURE) <br /> :1 22 23 CIA <br /> 24ONEf 25 26 77 28 29 30 31AIR <br /> 1 Uo W+f 4} <br /> OTHER 71C 7 L 5 T OT GA l�/�. �L�+� f I►'C1 ! /!'i�C <br /> OTHER �❑ � O ✓ 7 LB OPT QT GAAIR <br /> i /a-l���L�tJAC / I•C✓G �C1 .IQ �t ' G[( / �� 1�� T <br /> GR <br /> 1f' OTHERPT OT Gw� �[ QT <br /> 1 AIR 00 <br /> k. <br /> ! <br /> GR /F <br /> OTHER / <br /> LB OZ PT OT G � - �lyl,f`(� <br /> U � I AIR <br /> OTHER ❑ �5� I )OZ PT QT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER ❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER ❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER ❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA - <br /> GR ❑ <br /> AIR ❑ <br /> OTHER C LB OZ PT QT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB 02 PT OT GA <br /> GR ❑ <br /> kR ❑ <br /> OTHER [I LB OZ P7 OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER ❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIR [] <br /> 177 OTHER❑--j <br /> LB OZ PT OT GA I I <br /> I <br /> r. <br /> REPORT PREPARED BY f C_ �Q Ll c�/1 Ca� _ DATE f O REVIEWED BY <br /> rm L)Istribution: White Copy--County Agricultural Commissioner; Fink ropy- [)PR; G8r;v, -},..{'Ir..ra Ida- ro S—A,;:" „ FOR AGENCY USE ONLY <br />