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r I <br /> STATE of CALIFORNIA <br /> DEPARTMENT OF PESTI:7DE REGULATION PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT} <br /> PH-ENF-017C(REV.2/N1 <br /> Instructions: Submit the white conn to the Agricultural Commissioner within 10 days of month following applicatiorlt -' l <br /> MONTH 1 YEAR 2 <br /> NURSERY <br /> `C r <br /> OPERATOR iDIPERMITNJMBER OPERATORIGROWERI ADDRESS ✓•-.t.•k.ri_'. \��.r:+.i � A6--0f -. <br /> I T / /� Jf, CITY ZIP CODE <br /> re� 1Q U c'\)Q•\ 61L./ V � I1� e i F Ul . 7 Q d44 B <n?jo <br /> SI IDENT{FICATION N'_MBER TOTAL PLANTED <br /> �ACRE AGEIUNITS �C.UNINUMBER SECTION �/�J TOWNSHIP RANGE BASE 6 MERIDIAN <br /> 8 �10 (J 0 1i � �12 3C 13 v S 14 15 5 H <br /> COMMODITY/SJIE REA-ED FIELD LOCAfTIIO�N G A [��"]�� I �q��•�11!!�+(//`� �yf/ /[//���7 <br /> 17 <br /> CHEMICAL DAT IME ACREAGE/LINITS APP, BLOCK ID EPA OR STATE AEGISTRATION NUMBER TOTAL PRODUCT USED DAYS RITE DILUTION PRODUCT AND MANU URER <br /> CODE NUMBER APPLICA`ON TREATED METHOD (!f (FROM LABEL) JORCLE ONE UNIT REENTRY PER ACRE <br /> COMPLE-ED (CHECK APPDCABLE) OF MEA SURE) <br /> 21 22 23 24 ONE) 25 26 27 28 29 30 31 <br /> 1109 GR <br /> AIR6CJO <br /> sOTHER❑ It B <br /> r T GA Q� AV 7�, sf /W f jGC r� 1 MR (�✓ //t� <br /> S I OTHER� 707��I LB 46 PPT OT GA r Ts»• �o T5. VZ10 O yk (Is <br /> AIR 6 <br /> GR <br /> 7 <br /> rl, OTHER OV L8 OZ PT QT G �~ Lt ✓'a I�r <br /> �# GR "y <br /> UR / <br /> OTHER❑ e OZ PT OT GA <br /> GR <br /> AIR <br /> OTHER L8 PT OT GAAIR <br /> �`! 6 / + ri Q L �1 �Q lI rl /• 'Q <br /> 'k,_7 q GR <br /> I I OTHER ❑ ! -7601-6-651-?A4 LB OZ PT QT ' ! 6 4,L W dk! - / <br /> 1 /A5 AIR �[+ � U •� ql /q��� <br /> OTHER LB a PT QT GA ^F� QU 1` �Q ffi-') ���Y`{ hJ l d <br /> GR iaa Lj <br /> l a <br /> OTHER n -IJCI� �Z <br /> LB PT OT GA V <br /> GR .7,�4P <br /> 0 o A R A�4 <br /> 7QOr-sos <br /> OTHER <br /> LB OZ PT QT I L� r NUf r01"V -h- <br /> I -7 <br /> OR 3 r <br /> ../ MR <br /> OTHER❑ '9936--s-0- OZ PT OT GA 5_4 � /�( I f � <br /> 1 O� OTHER 0ZZ[PPTtlOT GA <br /> ■ GR ♦f I I1 i r J <br /> (J AIR ! 1 <br /> OTHER❑ � �s� OZ PT QT GA -5d a' <br /> GR <br /> AIR <br /> OTHER{] LB OZ PT OT GA <br /> J I <br /> �. GR ❑ <br /> AIR p <br /> OTHER LB OZ PT OT GA <br /> W'Fl, <br /> REPORT PREPARED BY DATE REVIEWED BY <br /> ,,rm Distribution: Wnite copy--Coun ocultural Commissioner; Pink copy-.DPH; Canary--Applic r; Irlenrod--Applicator FOR AGENCY USE ONLY <br />