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DISTRIBUTION:ORIGINAL —COUNTY Slate of Colifornio <br /> 1ST COPY —APPLICATOR DEPARTMENT OF FOOD AND AGRICULTURE r <br /> 2ND COPY—STATE INFORMATION SERVICES BRANCH f �] <br /> MONTHLY SUMMARY PESTICIDE USE REPORT DATE SUBMITTED <br /> OPERATOR IFIRM NAME( COUNTY (WHERE APPLIED( COUNTY NO IMONT./YP <br /> USE NAME OF PERSON RESPONSIBLE FOR REPORT <br /> ADDRESS CITY ZIP CODE SUBMIT ORIGINAL AND SECOND COPY TO THE <br /> COUNTY AGRICULTURAL COMMISSIONER <br /> PHONE NUMBERLICENSE NUMBER RESTRICTED MATERIAL PERMIT NO. TOTAL NO. OF BY THE 10th OF THE MONTH FOLLOWING <br /> 7 <br /> x �f7, PPLICATIONS THE APPLICATIONS. <br /> — COMPLETE COLUMNS A, B, C AND D FOR ALL USES — USE DEFINITIONS <br /> IF USE IS: CODE IF USE IS: STRUCTURAL PEST CONTROL—any pest control work performed within or on <br /> buildings and other structures. This includes work done by o licensed <br /> —STRUCTURAL PEST CONTROL.............. 1 —COMMODITY FUMIGATION structural pest control operator. <br /> —LANDSCAPE MAINTENANCE.................. 3 —SPOT TREATMENT LANDSCAPE MAINTENANCE—any pest control work performed on landscape <br /> —RIGHT-OF-WAY........................................ 4 —SEED TREATMENT plantings around residences, or other buildings, golf courses, parks, school <br /> —PUBLIC HEALTH PEST CONTROL....... 5 —OTHER (AS PERMITTED BY grounds, cemetaries, etc. <br /> —VERTEBRATE PEST CONTROL ............ 8 THE COUNTY AG. COMM.) RIGHT-OF-WAY — any pest control work performed along or on roadsides, <br /> —REGULATORY PEST CONTROL............ 10 power lines, ditch banks and similar sites. <br /> THEN: THEN: PUBLIC HEALTH PEST CONTROL—any pest control work performed by or under <br /> contract with State or local public health or vector control agencies. <br /> • ENTER CODE IN COLUMN E • LEAVE COLUMN E BLANK <br /> • LEAVE COLUMNS F 8 G BLANK • FILL IN COLUMNS F 8 G REGULATORY PEST CONTROL — any pest control work performed by public <br /> employees or contractors In the control of regulated pests. <br /> A B C D E F G <br /> MANUFACTURER AND REGISTRATION NUMBER FROM LABEL TOTAL PRODUCT USED NUMBER OF CODE COMMODITY OR SITE ACRES/UNITS <br /> NAME OF PRODUCT APPLIED INCLUDE ALPHA CODE (Circle One Unit of Meosure) APPLICATIONS TREATED TREATED <br /> LB OZ PT QT GA <br /> L B 0 Z P T QT A <br /> C t7tl �(.�QEy`i c ��3— -L O Z FIT Q T GA <br /> 4 — — — <br /> LB OZ PT QT GA <br /> 5 <br /> LB OZ PT QT GA <br /> 6 LB OZ PT QT GA CIV <br /> - - - JAN 10 <br /> LB OZ PT QT GA 19° <br /> 8 _ _ _ LB OZ PT QT GA N JOAQUIN COUNTY <br /> LB OZ PT QT GA <br /> 10 <br /> LB OZ PT QT GA <br /> 39-060 (REV.6/881 <br /> ;a /{sols <br />