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OF CALIFORNIA <br /> z.iTMENT OF PESTICIDE REGULATION PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> •ir-017C(REV.2190) <br /> ►• -ructions: Submit the white cop�C to the Agricultural Commissioner within 10 days of month following application. <br /> MONTH 1 YEAR 2 <br /> NURSERY 3 <br /> Par of <br /> OPERATOR iDIPERMIT NUMBER OPERATOR{GROWR) ADDRESS CITY ZIP CODE <br /> 4 � j �(� l �� � �`'�C 5 /C C-� /r�'`.{�' 1 C� 0 < v � 7/ <br /> SITE IDENTIFICATION NUMBER TOTAL PLANTED AGREAGFJUNITS COUNTY NUMBER SECTION rOWNSHIP <br /> 3 g RANGE TS <br /> ASE B MERIDIAN <br /> 7 N <br /> 9 ' 101 ti 112 �� 14 l 9 M H <br /> COMMODITYISI E TREATED FIELD LOCATION - <br /> ,Y <br /> 17 5 <br /> CHEMICAL DA ME ACREAGEIUNITS APP. BACK ID EPA OR STATE REGISTRATION NUMBER TGTALPROOUCTUSED DAYS PATE 1, 01LUTION PRODUCT ANO MANUP REIT <br /> CODE NUMBER APPLICATION TREATED METHOD IIF (FROM LABEL! (CIRCLE ONE UNIT REENTRY PER ACRE <br /> COMPLETED (CHECK APPLICABLEr OF MEASURE) <br /> 21 22 23 24 ONE) 25 26 27 28 29 30 31 <br /> 7'�f+- 1 <br /> OTTER 0 �� Cj ! 1 ! K !''!7 i .�7.. \r 1 l� C \ ) 1�• {`� <br /> e f LB OZ PT OT G'X`. (({1�7C �%�ij: GR <br /> AIR <br /> 7 r. OTHER' C7 �\ 7� i`� � LB OZ PT}+ OT <br /> GR <br /> 1��Jl�rf� OTHER LB 021PT QT G <br /> �} <br /> CA <br /> 1 �'(� ~•�l. l f -f `Lc I�'L: I �' ��il.,L?�qvlt r-! �•-`� < <br /> is LB OZ PT OT "GA <br /> R <br /> OTHER �I ^l� / •Cv< I I LB O PT OT GA <br /> M ❑ <br /> OTHER ❑{] LB OZ PT OT GA <br /> OR ❑ <br /> AIR ❑ <br /> OTHER ❑ LB OZ PT OT GA <br /> GR 71 <br /> AIR ❑ <br /> OTHER ❑ LB OZ PT OT GA } qty <br /> AGR <br /> IR + <br /> OTHER LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ l ` <br /> OTHER❑ LB OZ PT OT GA t.L10 <br /> OR <br /> AIR <br /> OTHER❑ LS OZ PT QT GA * q'(I it I r 07 <br /> ;'.3. 4 <br /> OTHER❑ LB OZ PT OT GA ' <br /> AI I� <br /> AR a <br /> OTHER❑ 8 OZ PT OT GA <br /> OR Cl <br /> uR [] <br /> OTHER ❑ .1 LB OZ PT QT GA <br /> wf REPORT PREPARED BY / " Li �� L� DATE h��' �� �� REVIEWED BY <br /> . Canary- FoflAaFacrueEx+Lr <br /> .rn C,s' lou coPY -CuuntY `cuIjral Commissioner; PmkcoPY--[)PR, -APPlicator. Golden rod--ApPicator <br />