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DE dT OF IE REC I <br /> OF CA I _-_.-SIDE E_. __.._MENT I <br /> PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT:MULTIPLE SECT!ON <br /> PR-ENF-184(EST. 10181) ''�U1`© 0 1 1 4 4 7 <br /> SEE INSTRUCTIONS ON THE REVERSE OF THIS FORM <br /> 1.MONTH 2 YEAR 3.COUNTY NO. <br /> �.CAMMOpTYI SITE TREATED &OPERATOR IDI PERMIT NO.�&-��TOREIG�,WER) 7.ADDRESS8.CRY 0.ZIP CODE <br /> 113 - mar w.s ;-4o�I AtAiJ ti ?APO A 95U). <br /> 10.- 11. 12 13. 14. is, 16, 17. 16 19. 20. 21. 22 23. 24. <br /> SECTION TOWNSHIP RANGE <br /> BASE SITE DATEANDTIME TOTAL TOTAL APP. EPA I CALIF.REG.NO.FROM LABEL TOTAL RATE DILUTION DAYS MANUFACTURER I NAME OF PRODUCT <br /> AND IDENTIFICATION APPLICATION PLANTED TREATED METHOD \ PRODUCTUSED PERACRE REENTRY <br /> MERIOAN NUMBER COMPLETED ACRES ACRES (CHECK (CIRCLE ONE LPIIT <br /> ONE OF MEASURE) <br /> N _yah S �M.' I LA 70 J AI 5�. 6 I � <br /> W H �. I �.e ' 4�-`1 OTHER. Q v +t,j LB 1- <br /> OZ P O GA ! � x+0"54&114AP <br /> ❑ S ! L/ �q <br /> N E S M GR <br /> AR OTHER <br /> ❑ <br /> J, S W H b +a } I LB OZ P O GA 1f, <br /> K low <br /> } <br /> S N E S M 6R <br /> AIR <br /> S W H q OTHER ❑ ,t�,-J^a C LB OZ PPT GA _'��.. I ��.�A I D L _►Vo( <br /> NL S i sJYd GR 5 ZAI- 47 <br /> AIR <br /> • ') L$� `� W 16 OTHER ❑ 1 1 "1 C_ 19 _ LB OZ P O A jD 1A0 <br /> i. N E S M GR <br /> AIR >r e <br /> S W H OTHER Q I k+y .. I I ry LR OZ PT g GA 07.. LAIIIN <br /> N E S M GR b <br /> IR <br /> S W H TER ❑ Yy '�.O LB OZ P O GA 67- <br /> s� Q cm) Io-7 ra AR ❑ ' � lot 8�-��a 10 t <br />.. f.•� �� T W S H �� �' 1-7 Ft� I"+ D OTHER LB OZ PTT A G TAT GX� <br /> OR Jk <br /> AIR <br /> S W S N M OTHER ❑ �� L0 OZ PA D <br /> —_- N E S M GR 16 I'L <br /> AIR <br /> S WH OTHER ❑ 2 G'�� Q LB Z TOT GA ,r <br /> N E S M GR Q a•a iJ <br /> AIR ❑ <br /> S W H f� OTHER ❑ LB OZ PT OT GA lylfl:4 G7 I..�J <br /> REPORT PREPARED BY v" DATE v I ►` " l REVIEWED EAcGf%. COM FOR <br /> MAUSE <br /> � FOR AGENCY USE ONLY <br />