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APPLICATION - RESTRICTED MATERIALS PERMIT - SUPPLEMENT <br />LOCATION MAP J ACRES/ <br />SEC TWN RNG !D �00ITY <br />7. UNITS PESTICIDES PESTS <br />8.7v05) <br />APPLICANT SIGNATURE <br />ISSUED BY <br />LIP <br />1 I �C f •� � ( rl:� <br />I I <br />J <br />PERMIT NO,7�t'j 00-2 ! ,'zj 5 <br />PAGE NO. <br />F• M" DILUTION/ DATE/ <br />RATE <br />VOLUME APP TIMING <br />r� <br />Li <br />C <br />DATE i I �, 2_6 [ <br />i' [ <br />DATE Z <br />STATE OF CALIFORNIA <br />DEPARTMENT OF PESTICIDE REGULATION <br />PR-ENF-125A (REV. 10107) Page 1 of 7 Print Form <br />10. — Y-1 <br />1_ <br />11. .._ <br />5 L <br />OiA <br />12. <br />.0 <br />13. <br />11 <br />17. <br />18. <br />19. <br />20. <br />21, <br />22. <br />23- <br />24. <br />25. <br />27. <br />28. <br />29. <br />30. <br />31. <br />'Formulation: L -Liquid B—Bait D—Dust F—Fumigant G—Granules <br />WP—Wettable Powder 0—Other <br />—Method: A—Air F—Fumigation Gr—Ground O—Other <br />DISTRIBUTION: COUNT YAGRICULTURALCOMMISSIONER; PERMITTEE <br />APPLICANT SIGNATURE <br />ISSUED BY <br />LIP <br />1 I �C f •� � ( rl:� <br />I I <br />J <br />PERMIT NO,7�t'j 00-2 ! ,'zj 5 <br />PAGE NO. <br />F• M" DILUTION/ DATE/ <br />RATE <br />VOLUME APP TIMING <br />r� <br />Li <br />C <br />DATE i I �, 2_6 [ <br />i' [ <br />DATE Z <br />STATE OF CALIFORNIA <br />DEPARTMENT OF PESTICIDE REGULATION <br />PR-ENF-125A (REV. 10107) Page 1 of 7 Print Form <br />