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STATE OF CALIFORNIA <br /> 'DEPARTMENT OF PESTICIDE REGULATION PRODUCTION AGRICUL7,,, i MONTHLY PESTICIDE USE REPORT <br /> PR-ENP-OI7C(REV.2/091 <br /> Instructions: Submit the white conn to the Agricultural Commissioner*. n 10 days of month following application. <br /> \f ✓�E� X16 <br /> MONTH 1 YEAR 2 <br /> NURSERY 3 Y <br /> Page — <br /> OPERATOR IDIPERMIT NUMBER ]��` OPERATOR(GROWER) ADDRESS /i�J'(/If CITY ZIP C <br /> 4 V is 1p u C Y L <br /> lq <br /> SiT IDENTIFICATION NUMBER TOTAL PLANTED AC AGE/UNITS 1COUNTYNUMBER SECTION TOWNSHIP RANGE BASE&MERIVAN <br /> ]�(I //1F N E <br /> 9 110 u 11 112 Qr�i 13 lJ 3 14 W 15 3 M H <br /> COMMODI /SPTE TREATED FIELD LOCATION <br /> 17 19 5- <br /> 1/V �J 'v✓1 f !/ / C/L <br /> CHEMICAL EITIME ACREAGEAINITB APP_ BLOCK IO EPA OR STATE REGISTRATION NUMBER TOTALPRODUCT USED DAYi RATE DILUTION PRODUCT AND MAN A <br /> CODE NUMBER A LIGATION TREATED METNOD {IF (FROM LABEL) (CIRCLE ONE UNIT REENTRY PER ACRE <br /> COMPLETED (CHECK APPLICABLE) OFMEASURE) <br /> ONE) <br /> 21 22 24 25 26 27 ZB 29 30 �31 <br /> c p I <br /> '06-5 <br /> OR <br /> —� B OZ 6 OT GAd, ILf✓�l/LS <br /> MR <br /> s5 ✓ <br /> r 3 1� OTHER❑ j L5 OZ PT OI�h AT GA i +R yC4 <br /> 4�O <br /> d-5 <br /> - l�I OTHER❑❑ C! O � p GA - -I �l l� &i <br /> lJ S <br /> GR Q <br /> NR <br /> OTHER LS OZ PT OT GA <br /> GR ❑ <br /> NR <br /> OTHER LB OZ PT OT GA <br /> GR <br /> AIR <br /> OTHER E] LB OZ PT OT GA <br /> GR ❑ <br /> AIR ❑ <br /> OTHER❑ LB OZ PT OT GA <br /> OR Q <br /> AIR <br /> OTHER LB OZ PT OT GA <br /> OR <br /> MA <br /> OTHER[] LB OZ PT OT GA ` I <br /> GR ❑ -`i r i <br /> AIR Q }i• `. <br /> OTHER❑ LB OZ PT OT GA } i�,.f•� <br /> OR ❑ <br /> AIR [] <br /> OTHER LB OZ PT OT GA <br /> Gq 8AIR <br /> OTHER❑ LB OZ PT OT GA .� <br /> \ <br /> OR <br /> MR <br /> OTHER❑ LB OZ PT OT GA <br /> GA ❑ <br /> AIR 0 <br /> OTHER© l' LB OZ PT OT GA <br /> REPORT PREPARED BY C% C C`\ DATE 7J)4)Q REVIEWED BY <br /> GVhita ::un• --Coun A ncullural Commissioner, Pink cr, DPR; Cana liicator', Gold nmd--Applicator <br /> FOR AGENCY USE ONLY <br /> � � tY 9 PY' TY--�°�PP <br />