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DISTRIBUTION:ORIGINAL —COUNTY State of California <br /> IST COPY -APPLICATOR DEPARTMENT OF FOOD AND AGRICULTURE <br /> 2ND COPY—STATE INFORMATION SERVICES BRANCH <br /> _ MONTHLY SUMMARY PESTICIDE USE REPORT DATE SUBMITTED <br /> OPERATOR (FIRI.1 NAME) COUNTY IWHERE APPLIED) IC OUN I'Y NO MONTH/YR OFUSE NAME OF PERSON RESPONSIBLE FOR REPORT <br /> ADDRESS c� CITY ZIP CODE SUBMIT ORIGINAL AND SECOND COPY TO THE <br /> ✓�� cox— r� �-'`S� �✓ �� � ��� COUNTY AGRICULTURAL COMMISSIONER <br /> PHONE NUMBER LI C ENSE NUM BER RES I RIC rED MAI ERIAL PERMIT NO. TOTAL NO. OF BY THE 10th OF THE MONTH FOLLOWING <br /> -✓ A PILI CA T IONS <br /> V�� -� <br /> All - THE 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 a 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 /> TH EN: TH E N: PUBLIC HEALTH PEST CONTROL—an pest control work performed by or under <br /> • ENTER CODE IN COLUMN E • LEAVE COLUMN E BLANK <br /> contract with State or local public health or vector control agencies. <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 Measure)APPLICATIONS TREATED TREATED <br /> /CL a%/��•-I!� � ���/� `ylr 7 <br /> LB OZ PT QT A `T �ji'�C%f�>"5 <br /> 2 LB OZ T QTk 1,A <br /> 3 / L B O Z PT QT GA <br /> 4 - - - <br /> LB OZ PT QT GA <br /> 5 - - - <br /> LB OZ PT QT GA <br /> 6 - - - <br /> LB OZ PT QT GA <br /> LB OZ PT QT GA 'E� 'ClEIVEn <br /> LB OZ PT QT GA JA 19o5 Y <br /> 9 L B OZ P T QT GA -,� JOAQUIN C0UT Y, <br /> LDEAnR <br /> 10 _ _ jo_ <br /> LB OZ PT QT GA <br /> 39-060 (REV.6/88) 83 86026 <br />