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I I I 1 II 1 111 t I I I I I II I I 9 i i <br /> STATE OF GI4 LIFOFWIA PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT <br /> D�PARTW,T OF PESTICIDE REGULATION <br /> PA-SAIF-017C(REV,21991 <br /> Instructions: Submit the white conn to the agricultural Commissioner within 10 days of month following appikafion. CO 04 <br /> kL <br /> LO <br /> LD <br /> MONTH 1 YEAR z <br /> CD <br /> h] <br /> NIJHSEHY 3 ED i� <br /> CIT <br /> OPERATOfi�IDPERh117 NUMBER OPERATOR(GRO'NERI ADDRESS CITY ZIP CODE I� <br /> A <br /> , ��7 � 4 5 fwd ��� �Q s� "� �r �Q o18 <br /> 517E IDENTIFICATION NUMBER TOTAL PLANTED ACREAGE)LINITS COUNTY NUMBSECTFON"/�J TOVMSHIP NGE/�') BASE i-FRIDIAri N <br /> CGMMOD]TY�51TE TREATED1Q � 11 ` 12 •� 13 3 1d W W FIELD LOC TI N ,c 3 H <br /> 19 <br /> OHEWCAL DA W ACAEAGFiUHrrS API.. 4lOCKID EPA OR STATE REOISYRAVOH NUMBER TWALPI.4DUCTUSED DAYS RA E OILUTIOH PRODUCT AND"111IFA CTVRER N <br /> CAGE Xil i16ER APPLIC.ATI4H TREATED MET1Ki0 OF IFROM LABEL) (C1RQE ORE UHrT REEHTTYY pH1 ACiiE <br /> 0D <br /> COMPLETED ICHECK APPUCABLEI <br /> Cp MEASURE) CD <br /> 2f 2 23 24CHn 5 26 27 26 29 30 31 <br /> C,A_Zf <br /> �lJ CTMER i] RC � SV f PZ PT OT GA �� � �1 � ��4 1�L1✓-V A ds <br /> 0PU GR AA 5171S01}IESI Lj R I '� ry UL PT OT GA l' rJ`^ 7 VK JMA <br /> o7HEA;'"I V7— ! i LB F�T OT GR 1 i /(J' � I � 1 <br /> GR <br /> iA <br /> cn <br /> a . � AffRIER 1�,lL �r iJ B OZi QT �9llt l J <br /> OR yyy, ff /�r� &VA <br /> AM <br /> OTtIER Q IU 1 f���LJI eIs7l LB PT QT GA a r i YJ e r5r IU�1 Z5J/J� /� / L4 <br /> + � ~— LB VZ PT OT J! �R(. � t 4.6"0 tO.S��.�� �� � Q <br /> J 76� ryes , /�(�`�i'� D <br /> 1 V AMBER V / `-' f _ DZ PT OT GA joe "•"' j �'L �4• '�� <br /> /A{ c'R <br /> �/ _ O; ' <br /> _ 13 <br /> ,� 7 '�/fes, y _ y+ o <br /> o.REx � � OZ PT OT GA �'►`' V 1 Add �Zt 1f y ~�7{_S <br /> �. GR 4 ff <br /> OTHER � <br /> 1_6 OZ PT ❑T GA <br /> T <br /> AI Cl <br /> ua ❑ <br /> orRER C71 LB OZ PS DT GAA <br /> otRER LB OZ PT OT GLAGRj <br /> ,. <br /> AIR a SUN <br /> OTHE.a(� Ls CZ PT QT GA <br /> GRMR <br /> 0 <br /> tB OZ PT UT GA <br /> AGAR i.. 'a5;':� _- m <br /> EELB OZ PT OT GA <br /> m <br /> _-C0A <br /> ��g <br /> REPORT PAEPARPD RY DATE REVIEWED BY <br /> Forn1 D'slribution: Whsle copy--County A Rural Carnmissioner, nk copy--DPH; Cana ry••Applicatar GoIden md.-Applicator FOR AMNCV USE ONLY <br />