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DFPES1lCI0E FIEGULATIDN <br /> DUFCA PiVIA <br /> .EPA PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> pEPARTMENr� <br /> PR-E4F-pt7C(REV.2W) <br /> CD <br /> Instruct' ns: Submit the white coR to the Agricultural Commissionar within 10 days of month following application. CO <br /> LDLD <br /> MONTH 1 YEAR 2 - � CO <br /> NUflSERY 3 Ln <br /> / !! LnPage 1_0, !_ <br /> OPERATOR IfNPE'RIAtT NLSMBER YOPFIRA70IR IGROWER) AOOf1E55 CITY 71P C4DE 1+. Y 1L 6 �6 '6'd i 7 �-Q - N <br /> SITE IDENTIFICATION rqUi rUTAL PLANTED A'flEAGERJNITS IMUNTY NUi i SECTION TOWNSRiP RA F BASE MERI4IAN <br /> 9 J �11) � 1f 12 13 S 14 W 15 S H <br /> 'QMMODITYISITE 7RFAT FIELD LD�CA�^/,N �] W <br /> 1J 16-V" O A2 I _ �! <br /> N <br /> CHEMICAL QA ig ACREJLG EIU11A5 APP. EIDCiS iO EPA OR STATE RE-0ISTRAT10H kUOBER TU-i PRODUCT UITE SM DAYS RDILU7fOM PROQUCT AHD Y4 F CTUREP CC <br /> r$ E MBM6EF APPLIC.i1TIDN 7141 METHOQ IFF (FROM LABEL) (CIRCLE ONE UNIT SW EHTi pi CD <br /> GOWLETED j(;i APPIICA11i <br /> CF IiFA3uRq <br /> 2l 22 23 2401 25 25 27 28 29 3D 31 <br /> OTHER.w.�.— [1 LB 02 PT OT "�- fLl �O /y f) <br /> f � <br /> OTHER ❑ L8 OZ PT CIT JA )%(d C 0. <br /> OR <br /> AIR <br /> OTHER oz PT ar GA <br /> t. GA <br /> i uOTI#ER .( OT GA J /, q-r <br /> "�tco <br /> O>HER U �vOT GA a71� �. E-"-l5 4�/f 1 Z <br /> AI <br /> GA L C- <br /> CnHER Q �� DZ PT OT GAT $. �l <br /> JJJ 1> <br /> GR a2C30 C- <br /> A,fl -- �r n7 PT OT GA —) 1�� 5 i rt f �/ z <br /> UTHER Lj <br /> AIR <br /> oOTHFR <br /> --� _ OZ PTT QT Q, <br /> AIR { <br /> OTHER I; <br /> LB 02 PT OT GA <br /> AIR i J <br /> ,DHER 0 LB 02 PT UT GA -- —� <br /> ii AIR u <br /> IC" LB 02 PT OT GA <br /> CK <br /> ❑ � 20CJ4 <br /> AR ❑ <br /> omEn p La oz a; sar ctA <br /> cel ❑ <br /> OTHER❑ � <br /> L8 OZ Pr OT GA OAQUIN CO <br /> G) <br /> AA 7 <br /> IR U COMM,AGM . LO.DI <br /> OTHER i 18 02 PT OT GA I0i <br /> REPORT PREPARED BY lei 0 el&LDATE REVIEWED BY <br /> Form Dislributioi FOR <br /> White oa Coun F ncuataral Commissioner; Pink cu --ApP111 ro <br /> r, Iden c!-•AppiicatoT AGENCY USE ONLY <br /> PY-- h' 9 PY�-�PR; Carlary <br />