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STATE OF CALIFORNIA <br /> --PAR-- __ OF P------X RE_--..ION <br /> F.,%,JUG,wNN A%jniCUL i ARE rn,uNTHLY NES IUI0E U5t REPORT : MULTIPLE SECTION PESTICIDE ENFORCEbENT BRANCH <br /> PR-ENF-184(EST. 1091) <br /> SEE INSTRUCTIONS ON THE REVERSE OF THIS FORM NO- 12 7 3 5 1 <br /> 1.MONTH 2.YEAR 3.COUNTY NO. <br /> ry-1AK pd 3`l <br /> 4.COMMODITY/SITE TREATED 5.OPERATOR ID/PERMIT NO. 6.OPERATOR(GROWER) 7.ADDRESS 8.CITY <br /> 9.ZIP CODE <br /> vi CIL, `.�• i `� 5�r F�lr►MS -� a 1 /-�w5- v� p,Ivpv v� I S3&to <br /> 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. <br /> SECTION TOWNSHIP RANGE BASE SITE DATE AND TIME TOTAL TOTAL APP. EPA/CALIF.REG.NO.FROM LABEL TOTAL , <br /> AND IDENTIFICATION APPLICATION DILUTION DAYS MANUFACTURER/NAME OF PRODUCTATION PLANTED TREATED METHOD PRODUCT USED PER ACRE REENTRY <br /> MERIDAN NUMBER COMPLETED ACRES ACRES (CHECK (CIRCLE ONE UNIT <br /> DIVE) OF MEASURE) <br /> �cpN S �3co GRAIR C <br /> Q 7-7 `/ W H G 1 S,v_V-tn�� I6 OTHER ❑ ✓ I 3 L <br /> U � � S LBOZPT TGA <br /> N E S M GR <br /> AIR ❑Q - / <br /> OTHER tqb <br /> S W HQ loo r 6141 SLB Z PT OT GA !, <br /> N E S M GR D 3 <br /> S W H AIR cl OTHER Cl Z P�+✓ Q OT PT OZ LB A VGR <br /> N E S v GJ Q <br /> O H L 'OMav n 3� 1b AIR <br /> OTHER O <br /> vv <br /> I I U r LB OZ PTT GA <br /> N E S M GR <br /> 1. <br /> AIR <br /> ` S W H OTHER Q 'D R B Z PT OT GA <br /> L <br /> N E S M V ! <br /> GR QV` 7 <br /> S W H AIR o <br /> OTHER 3 �-a '" 6.07- I <br /> LB OZ P OT GA <br /> 1 S y� /y�{ GR <br /> 2 1" �ic� W MA R ZQ V A HER ❑ ' O D <br /> v V + LB OZ PT TGA 1> fvy, 4 C <br /> /aQ N E S M GR D `� ` ! <br />/ S S W HAIR 11 �0 8 <br /> OTHER ❑ (�Z, ' S�.j`"� Q ' <br /> LB OZ PT !�)O <br /> N E S M <br /> GR ❑ <br /> S W H AIR Q / <br /> OTHER D LB OZ PT(!) A 2 ' q4) �Q✓Q 1�ytG <br /> N E S M GR ❑ <br /> S W H AIR Q .l % <br /> OTHER ❑ i .� ] 4/ <br /> LB OZ PT OT GA <br /> 1 1•T .. .. <br /> REPORT PREPARED BY DATE D REVIEWED BY <br /> FOR AGE MY use gn r; <br />