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APPLICATION - RESTRICTED MATERIALS PERMIT - SUPPLEMENT <br />�s3 e <br />PERLAIT NOT <br />PAGE NO. <br />LOCATION <br />SEC <br />TWN <br />RNG <br />MAP <br />ID <br />COMMODITY <br />ACRES/DILUTIONI <br />UNITS <br />PESTICIDES <br />PESTS <br />P <br />M' <br />RATE <br />VOLUME <br />APPL <br />DATE/ <br />TIMING <br />7. S` burn, %� <br />rs <br />t��k��,� <br />8. <br />9. <br />10. <br />11. <br />12. <br />13. <br />14, <br />15- <br />16. <br />17. <br />18. <br />19. <br />20. <br />21. <br />22. <br />23. <br />24. <br />25. <br />26. <br />27. <br />28. <br />29. <br />30. <br />31. <br />`Formulation: L—Liquid B—Balt D—Dust F—Fumigant G—Granules <br />WP—Wettable Powder O—Other <br />"Method: A—Air F—Fumigation Gr—Ground O—Other <br />DISTRIBUTION: WHITE d YELLOW -COUNTY AGRICULTURAL COMMISSIONER; PINK & GOLD -PERMnTEE <br />APPUCANT SIGNATURE DATE <br />ISSUED BY DATE /l <br />STATE OF CALIFORNIA <br />OM DEPARTMENTOF PESTICIDE REGULATION <br />OSP OB 109802 FR•ENF-125A (REV. 10107) PaOc I of 1 <br />