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I I I # 1 I I I i 1 I I 1 1 1 4 1 I I <br /> ;TATE M CAT-OF PE A PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> IEP NF-017 T RE .2J99) 7E REGULATIbN <br /> IR-ENF•017C(REV.2188) �Tf7�-4// !l// <br /> Instructions: Submit the white cupc�oweJ�to the Agricultural Commissioner within 10 days of month following application. <br /> 1 YEAR 2 <br /> NU ERY 3 <br /> Page I DI <br /> 7PERATOR IO/PERMIT NLMBEFJ <br /> "/�f OPERATOR(GROWER) ADDRESS G CITY ZIP CODE <br /> -6 '� O Q 5 � au c s6 08, . dd b r�,�l c . , cwt, , ��Rad <br /> :IrE IDENTIFICATION NUMBER TOTAL PLANTED ACREAGE/UNITS COUNTY NUMBER SECTION TOWNSHIP RANGE (/��BASE A MERIDIAN <br /> 10 11 12 13 N t4 O W 15 S wl H <br /> :OMMOD1TY/51 E TREATED FIELD LOCATION <br /> CHEMICAL DAT TME ACREAGE/UNITS APP. BLOCK ID EPA OR STATE REGISTRATION NUMBER TOTAL PRODUCT USED DAYS PATE DILUTION PRODUCT AMD FACTURER <br /> CODE NUMBER APPLICATION TREATED METHOD JIF <br /> COMPLETED (CHECK APPLICABLE) (FROM LABEL) SOF MEASURE) REENTRY PER ACRE <br /> 21 23 24 ONE) 25 26 27 28 24 30 31 <br /> Gq <br /> AIR <br /> OTHERGA ❑ � -ry^�0 LB PT QT GA Yi� r 8�76V Abuajo /9- -,49v- <br /> l MJ ^ <br /> I OTHER C] LBgPT' <br /> OT GA ta.I� P/0 Y <br /> GR E)AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR ❑ <br /> AIR <br /> OTHER LB 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 H LB OZ PT OT GA <br /> GR ❑ <br /> AIR <br /> OTHER <br /> LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LIR OZ PT QT GA <br /> CIR <br /> OUR <br /> B <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> NR [] <br /> OTHER❑ I LB OZ PT OT GA <br /> GR c <br /> AIR <br /> OTHER❑ LB OZ PT OT GA <br /> GR ❑ <br /> AIA ❑ <br /> OTHER❑ LB OZ PT QT GA <br /> REPORT PREPARED BY e �� 1 DATE REVIEWED BY <br /> Stllt ui"Irl V�` le copy--County Agnculwml Commissioner; Pink copy--DPR; Canary--Appticpl r, Iden rod--AppllcatDr FOR AQEAlCY USE ONLY <br />