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Get PRODUCTION AGRICULTURE MONTHLY PESTICIDE USE REPORT

Ys of the month following application. Month 1 Nursery Year 2 3 Operator ID/Permit No. 4 5 Address Operator (Grower) Site Identification No. Total Planted Acres/Units 9 10 Commodity/Site Treated 16 6 County Number 11 City Section 7 Township 12 N 13 Field Location Zip Code 8 Range S Base & Meridian E 14 W 15 S M 17 Date/Time Application 18Completed Acreage/ Units 19 Treated Application Method (Check One) 20 EPA or State Registration Number Block ID 21 (If ( F.

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