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;EIA OF NT OF PES PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> IEPARTMENT OF PESTIC 7E REGULATION <br /> ;'R-ENF-017C(REV.2J99) <br /> Instructions: Submit the white covycove to the Agricultural Commissioner within 10 days of month hollowing application. <br /> u <br /> MONTH 1 YEAR 2 <br /> 7-11 NURSERY 3 <br /> Parte I or <br /> �PERATCR IDIPERMIT NLMBER OPERATOR(GROWER) ADDRESS CITY ZIP CODE <br /> oq4a 5 aQc� ago <br /> 317E IDENTflCATION N rOUNTYNUMOER <br /> 1 GER TOTAL PLANTEDACREAGEIUNIT5 SECTION TOWNSHIP IN BASE t MERIDIAN <br /> 1 r 110 8O 112 13 1 14 ?/ E 15 S M H <br /> OMMODITYIS E TREATED FIELD LOCATION <br /> 17 C 19 15 <br /> CHEMICAL DA EITIME ACREAGE1UNR9 APP- BLOCK ID EPA OR STATE REGISTRATION NUMBER TOTAL.PRODUCT USED DAYS PATE DILUTION PRODUCT AND FACTUREN <br /> CODE NUMBER AP K:ATtiI TREATED METHOO 11F (FROM LABEL) (CIRCLE ONE UNIT REENTRY PER ACK <br /> COMPLETED (CHECK APPLICABLE) OF MEASURE) <br /> ONE) 28 20 30 31 <br /> 21 22 23 24 25 26 27 <br /> GR <br /> It O AfRi FJV OZ PT OT GA— O <br /> OTHER C1 <br /> GR <br /> AIR <br /> 1� 5z <br /> O p� OTHER❑ �`' �\ (� <br /> 3V B Z PT OT GA ` u� <br /> AIR ❑ � � <br /> O OTHER ] \]r B OZ PT OT GA 174 <br /> GR ❑ <br /> AIR <br /> OTHER LB OZ PT OT GA <br /> GR <br /> AIR <br /> OTHER LB OZ PT OT GA <br /> OR <br /> g <br /> AIR <br /> OTHER LB OZ PT OT GA <br /> GR ❑ <br /> AIR G <br /> OTHER p LB OZ PT OT GA <br /> GR ] <br /> AIR <br /> OTHER LB OZ PT OT GA <br /> GR <br /> F <br /> AIR `k� � <( L t �M �R)- I �1�•' <br /> OTHERg LB OZ PT OT GAGR <br /> AJA <br /> Ir <br /> OTHER❑ L9 OZ PT OT GA <br /> GR BAIR <br /> OTHER[] LB OZ PT CIT GA <br /> I •rFF'i r <br /> OR B , <br /> AIR <br /> OTHER❑ LB OZ PT OT GA ;._.:.:... ,i! •�'' <br /> OR BAIR <br /> OTHER❑ <br /> LB oz PT or GA <br /> OR AJA D <br /> OTHER p LB OZ PT OT GA <br /> REPORT PREPARED BY J l�Q�1 C �Q DATE <br /> REVIEWED BY <br /> .?11I ui'•on" 1',-iTo copy County Agncultu ral Ccmmissioner, Pink Copy-D; R; Canary—Apph a r, Olden rod Applicator FOR AGENCY USE ONLY <br />