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STA+t Lk CALirUHNIA <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT : MULTIPLE SECTION PESTICIDE ENFORCEMENT BRANCH <br /> PR-ENF-184(EST. 10191) <br /> SEE INSTRUCTIONS ON THE REVERSE OF THIS FORM N° 1 2 7 3 6 4 <br /> 1.MONTH 2.YEAR 3.CO7UNTY NO. <br /> 4.COMMODITY I SITE TREATED S.OPERATOR ID/PERMIT NO. 6.OPERATOR(GROWER) 7.ADDRESS B.CITY 9.ZIP CODE <br /> til% ja 1_ Ll`T 1 13`1 �7-15 .r- �G.r �.�s ?�-� a`E s`�� h S 3 b�� <br /> 10. 11. 12. 13. 14. 15. 16. 17. 16. 19. 20. 21. <br /> SECTION TOWNSHIP RANGE BASE SITE DATE AND TIME TOTAL TOTAL APP. EPA I CALIF.REG.NO.FROM LABEL TOTAL RATE 22. 23. 24.DILUTION DAYS MANUFACTURER I NAME OF PRODUCT <br /> AND IDENTIFICATION APPLICATION PLANTED TREATED METHOD PRODUCT USED PER ACRE REENTRY <br /> MERIDAN NUMBER COMPLETED ACRES ACRES (CHECK (CIRCLE ONE UNIT <br /> ONE) OF MEASURE) <br /> GR <br /> ^� N CE, S h /DUD 1 f hf� � ) <br /> W H �_ I Z3 �Ll►� .Std �'��� OTHER 0 V✓ 1( .I{_ <br /> 8 LB tOA PT OT GA O Z„ r l I` /v D V 15 <br /> N E S M GR t_ <br /> C] T <br /> AIR ❑ <br /> S W H OTHER 2 o7LI <br /> ' I LB OZ PT OT GA ()i+ �o rS �G` U - et ti%e <br /> S N E S M AIR 0 GR ❑ '2-'A <br /> M <br /> S W H O <br /> THERCl soot) � r /`t(,ll IPA" IAI��r <br /> LBO PT OT GA ��- <br /> Bq 3 z y Ivo <br /> WW SHM Imo) a� I � 7I1 - 7-7-L���U/1 <br /> 2. <br /> LB OZ PT OT GA <br /> N E S M GR <br /> AIR <br /> OTHER ❑ 5 I)DO l ` L <br /> LB PT OT GA <br /> N E SGR 2.OD Q <br /> 1 � ---r ✓ AIR ❑ Cj <br /> W H i+i• 2-18OTHERC] I oc� �� LB O�T OT GA C-'�- .� i��rl lC /VIGLet 1-i t5 <br /> N E S MGR r <br /> r'y <br /> AIR p <br /> S W H <br /> OTHER - J `} t R LZ-D , • / '' 1 e-n <br /> LB OZ PT 0 GA 07-- <br /> ►••p S a-+� �_�'s ' 4 <br /> N E S M AI ( 1 t <br /> Vii•. <br /> AIR ❑ e, �• ( <br /> ' /S� W H OTHER ❑ � � �r��C.J 1. LB^OZ PT OT GA C�7- N L" l <br /> 8> S) S S) I I �� GIR •^ c <br /> l w <br /> S H ? �; .M 1 �{ AIR ❑ u� S"� .J i CJ r 1 <br /> +' ,.�t+ r' OTHER ❑ I n o Z 10 <br /> LB OZ PT OT( U' �. c t� �`J '1 V L�a) �- 14�`.L n <br /> N E S M r <br /> S W H EN <br /> AR ❑ <br /> OTHER ❑ 7 pP - IA- <br /> REPORT <br /> A- <br /> LB`OZ T OT GA -:6Z-- i 1 <br /> REPORT PREPARED BY a4n1 DATE Z� L a l <br /> REVIEWED"BY <br /> . - FOR AGENCY USE ONLY <br />