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APPLICATION - RESTRICTED MATERIALS PERMIT - SUPPLEMENT <br />kv 19 r05qc,(k_& vz�A <br />_V - <br />2 <br />PERMITNO. 3JU � <br />PAGE NO. <br />LOCATION, <br />SEC <br />TWN <br />RNG <br />MAP <br />ID COMMODITY <br />ACRES/DILUTION/ <br />UNITS <br />DATE/ <br />M <br />PESTICIDES PESTS F* M_ RATE VOLUME APPL TIMING <br />2-4 1 fit? <br />12, <br />13. <br />14. <br />15 <br />16. <br />17. <br />is. <br />PTX <br />2 <br />20. <br />21. <br />22. <br />("Av. <br />23. <br />24, <br />25. <br />26. <br />31- <br />27. <br />3(— <br />28. <br />29. <br />30. <br />31. <br />*Formulation: L—Liquid B—Bait D—Dust F—Fumigant G—Granules <br />WP—Wettable Powder O—Other <br />—Method: A—Air F—Fumigation Gr—Ground O—Other <br />DISTRIBUTION: COUNTY AGRICULTURAL COMMISSIONER; PERMITTEE <br />APPLICANT SIGNATURE DATE "?U <br />ISSUED ByDATE <br />STATE OF CALIFORNIA <br />DEPARTMENT OF PESTICIDE REGULAT ON Print For <br />PR -ENP -126A (REV. 10/07) Paw 1 of 1 1 M <br />