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OF C A DL.........ANT OF.",,,,,.DE REu—nvN <br /> PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT : MULTIPLE SECTION PESTICIIDE ENFORCEMENT BRANCH <br /> I'll ENF-164(EST. 10191) N® 0 1 1 4 3 4 <br /> SEE INSTRUCTIONS ON THE REVERSE OF THIS FORM <br /> I.NONM 2 YEAR 9.Cou NO. <br /> 4.COMMODITY/S11E TREATED S.OPERATOR O/PERLIIT NO. 6.OPERATOR(GROWER) 7.ADDRESS d CITY IL ZIP CODE <br /> bL <br /> IQ 17. 12 13. ta. is 16 17. id 19. N IN t! 7 <br /> SECTION TOWNSHIP RANGE BASE SITE DATE AND TIME TOTAL TOTAL APP. EPA/CALIF.REG.NO.FROM LABEL 2t. �' 2a. <br /> TOTAL RATE DILUTION •DAYS MANUFACTURER/NAME OF PRODUCT <br /> AND IDENTIFICATION APPLICATION PLANTED TREATED ME71tOD PRODUCT USED PER ACRE REENTRY <br /> MERIDAN NUMBER COMPLETED ACRES ACRES (CHECK pC1RC1.E OHE Low <br /> O - OWE) OFMEASUREJ <br /> i N E S M re '� LAIR <br /> GR -- /) A <br /> W H 4.c�e ��'"� i 3( � ) OTHER ❑ _&Z PT OT GAS'! <br /> N E S M OR ❑ <br /> S W H AIR ❑ <br /> OTHER ❑ <br /> L9 OZ IT OT GA <br /> J W H 1 ' ' g DITHER O �j� �' V LB IT QT f..7/ _.__ <br /> N E S M OR ❑ �/I f_ <br /> S W H AIR ❑ 7d.. r ��h _A A /� I <br /> L, :^ OTHER ❑ N LB OZ P O7)GAO <br /> / f 1�7 <br /> GA <br /> 7-C.) '7� S H Z 1 •ti �� t),I OTHER ❑ g/�'I �. . ,ey' LB�LI 0 I/01 <br /> G/ Z IT OT GA QC I(i� IDI 'G I''1 �1, <br /> N E S MGR <br /> AIR o <br /> S W H OTHER ❑ 7O <br /> Z QUb? d L0 OZ PT T A O L <br /> N E S M GR ❑ J �( <br /> AIR ❑ <br /> S W H OTHER ❑ <br /> LS OZ IT OT GA <br /> -RE:(C <br /> N E S M OR ❑ .a <br /> 5 W H AIR 13OTHER ❑ <br /> LB OZ IT OT OA APr\ u Y �?I <br /> N E S M GR ❑ <br /> AIR 11 <br /> S W H OTHER ❑ { <br /> LB OZ IT OT GA / ('.Ivllrl. _ NIAN I ECA <br /> N E 5 M rq ❑ <br /> S E H AIR ❑ <br /> OTHER ❑ <br /> _ LBOZPT�OT GA <br /> REPORT PREPARED BY DATE 3 4,or 9`CU REVIEWED BY <br /> FOR AGENCY USE ONLY <br />