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DERiMENT OF PL:57ialQE Rk"LULATIDH <br /> STATE OF TNcALFORMA <br /> DE PAPRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> PR-ERF-017C(REV.?J98J <br /> CD <br /> Instructions. Submit the merit#coDrcop to the Agricultural Commissioner within 10 days of month following application. m <br /> CD <br /> MONTH 1 YEAR 2CD <br /> N <br /> C9 <br /> NURSERY 3 UI <br /> PageDr- 1_ <br /> OPEP.ATOR IWPERIAT NUMBER OPERAFpR(GROWER} ADDRESS CITY ZIP CODE F' <br /> 5 �•-VF Lk 0111 J 6 L Q4 /f, - 7 [� f'�+t tJ B .j <br /> SITE fD£NIIFICATIONNU E T0TA1PiANTE0AGRFAGFIUN175 �GOLNTYNUMSER ITOWNSHIP NGGE SASE&MERICXAN <br /> 9 ID 11 12 t3 !� S 14 `' W I5 S H <br /> CCMMODITYISJTS TR TED FIELD LOCrA�71O�N W <br /> 17f( i 1a �wV � ri/l �� ✓�� <br /> N <br /> CHEMICAL. DATempkE ACREMEll1HR9 APP. BLOC{ID EPA OR STATE REIl75TRATION NQM$ER T43TALP4DDUCTUSED, DAYS RATE DI IDM PRODUCT AND MAIFVFACTUq OQ <br /> C00E NusIB£R APPLICATION 4 TREATED METNbp IF (FROM LAAEL} (CRGL£ORE W7 REEWRY PERACRF on <br /> 0O1JPLETED IGYIEGN APPWASLE) OF$W-kSI AEI <br /> 21 22 23 24 ON <br /> EI 25 26 27 26 29 30 3 S <br /> GR c <br /> �W AIR U ��� f /� �f f 1; '*'i�/�'tf �� � ✓� <br /> DT11ER C1 LA PT UT GA <br /> AM <br /> ,A A4oTRER(] / "o/S � LFJ PT ❑7 GA iQ*_' vz r a Q <br /> OT'MER'� 1 LB f P? ❑T GA �QQ �If Cl, .� �1�+'� ! Y <br /> 7 <br /> aR 1 <br /> 41R Li <br /> OTHER LB aZ PT OT GA <br /> PR ❑ <br /> AIR 0 <br /> DTRfR U La Gr PT OT GA z <br /> - GR U L-4 <br /> AIR ❑ Q <br /> OTHER ❑ _ LB UZ PT OT GA p <br /> cR ❑ I C <br /> RIRLJ <br /> arnER ❑ L8 OZ FIT QT GA t <br /> GA ❑ �^ �- <br /> AIR L! I <br /> uinER ❑ LB OZ PT OT GA r�', ' I r -a� rt <br /> GR <br /> .AIR L_} ii ',ny_$ N ' « �l$ { <br /> o-rn R L LB OZ PT QT GA D <br /> -- _ a��II s <br /> vr *41 JI) <br /> RER C7 LB OZ PT OT GA GUQ4 <br /> GH J <br /> asRER[1 LB OZ PT OT GA k" { <br /> OR } <br /> r <br /> A15HER In] <br /> OTU LB OZ PT OT GA <br /> GR L] <br /> AIA (] <br /> VrdER U LEI OZ PT OT GA D <br /> a <br /> ���U LB 02 PT 07 GA, <br /> CD <br /> C-T! <br /> REPORT PREPARED BY DATE REVIEWED BY <br /> Form Distribution- White copy--Count{Agriculturak Commissioner, Pink cagy--CiPR; Cana ry--Applicalor, GQ1denrod--Applica1or FOR AGENCY USE D14LY <br />