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Pesticide Use Reporting Forms

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  1. Pesticide Use Reporting Forms Mark Conover Senior Ag & Standards Inspector Mariposa County Department of Agriculture

  2. ABC-123 Inc.

  3. ABC-123 Inc. 456 Smith Street

  4. ABC-123 Inc. 456 Smith Street Mariposa

  5. ABC-123 Inc. 456 Smith Street Mariposa 95338

  6. ABC-123 Inc. 456 Smith Street Mariposa 95338 209-123-4567

  7. ABC-123 Inc. 456 Smith Street Mariposa 95338 209-123-4567 PRO123

  8. ABC-123 Inc. 456 Smith Street Mariposa 95338 209-123-4567 PRO123 Operator ID or Permit Number Required Here If One Has Been Issued.

  9. ABC-123 Inc. 456 Smith Street Mariposa 95338 209-123-4567 PRO123 Mariposa

  10. ABC-123 Inc. 456 Smith Street Mariposa 95338 209-123-4567 PRO123 Mariposa 22

  11. ABC-123 Inc. 456 Smith Street Mariposa 95338 209-123-4567 PRO123 Mariposa 22 Jan. 2012

  12. ABC-123 Inc. 456 Smith Street Mariposa 95338 209-123-4567 PRO123 Mariposa 22 Jan. 2012 BASF Phantom

  13. Where in the world will I find the EPA Registration number???????

  14. Right here

  15. ABC-123 Inc. 456 Smith Street Mariposa 95338 209-123-4567 PRO123 Mariposa 22 Jan. 2012 BASF Phantom 241-392-AA

  16. ABC-123 Inc. 456 Smith Street Mariposa 95338 209-123-4567 PRO123 Mariposa 22 Jan. 2012 3 BASF Phantom 241-392-AA

  17. 3 ? Be sure to include the unit of measurement!

  18. 3

  19. 3 10 You can use either a “code” in box E or fill in box F & G, Commodity & Acres.

  20. Don’t forget to include the total number of applications.

  21. 3 3 10

  22. 3 3 10 April Showers

  23. 3 3 10 April Showers 02/05/2012

  24. January

  25. January 2012

  26. January 2012 22-12-00165

  27. January 2012 22-12-00165 John Smith

  28. January 2012 22-12-00165 John Smith 456 Brown Road

  29. January 2012 22-12-00165 John Smith 456 Brown Road Anytown

  30. January 2012 22-12-00165 John Smith 456 Brown Road Anytown 99999

  31. January 2012 22-12-00165 John Smith 456 Brown Road Anytown 99999 JS-01

  32. January 2012 22-12-00165 John Smith 456 Brown Road Anytown 99999 JS-01 18 Acres

  33. January 2012 22-12-00165 John Smith 456 Brown Road Anytown 99999 JS-01 18 Acres 22

  34. January 2012 22-12-00165 John Smith 456 Brown Road Anytown 99999 JS-01 18 Acres 22 14

  35. January 2012 22-12-00165 John Smith 456 Brown Road Anytown 99999 JS-01 18 Acres 22 14 06

  36. January 2012 22-12-00165 John Smith 456 Brown Road Anytown 99999 JS-01 18 Acres 22 14 06

  37. January 2012 22-12-00165 John Smith 456 Brown Road Anytown 99999 JS-01 18 Acres 22 14 06 17

  38. January 2012 22-12-00165 John Smith 456 Brown Road Anytown 99999 JS-01 18 Acres 22 14 06 17

  39. January 2012 22-12-00165 John Smith 456 Brown Road Anytown 99999 JS-01 18 Acres 22 14 06 17

  40. January 2012 22-12-00165 John Smith 456 Brown Road Anytown 99999 JS-01 18 Acres 22 14 06 17 Rangeland

  41. January 2012 22-12-00165 John Smith 456 Brown Road Anytown 99999 JS-01 18 Acres 22 14 06 17 Rangeland NE Corner of Hwy. 140 & 49N Mariposa, CA 95338

  42. January 2012 22-12-00165 John Smith 456 Brown Road Anytown 99999 JS-01 18 Acres 22 14 06 17 Rangeland NE Corner of Hwy. 140 & 49N Mariposa, CA 95338 1/18/12 16:00

  43. January 2012 22-12-00165 John Smith 456 Brown Road Anytown 99999 JS-01 18 Acres 22 14 06 17 Rangeland NE Corner of Hwy. 140 & 49N Mariposa, CA 95338 1/18/12 16:00 2 acres

  44. January 2012 22-12-00165 John Smith 456 Brown Road Anytown 99999 JS-01 18 Acres 22 14 06 17 Rangeland NE Corner of Hwy. 140 & 49N Mariposa, CA 95338 1/18/12 16:00 2 acres

  45. January 2012 22-12-00165 John Smith 456 Brown Road Anytown 99999 JS-01 18 Acres 22 14 06 17 Rangeland NE Corner of Hwy. 140 & 49N Mariposa, CA 95338 1/18/12 16:00 2 acres 524-475

  46. January 2012 22-12-00165 John Smith 456 Brown Road Anytown 99999 JS-01 18 Acres 22 14 06 17 Rangeland NE Corner of Hwy. 140 & 49N Mariposa, CA 95338 1/18/12 16:00 2 acres 524-475 No Alpha Code?? Check your label!

  47. Alpha Codes “AA” is default; be sure to check your label to make sure it is not another code; such as “ZC” “ZA”…

  48. January 2012 22-12-00165 John Smith 456 Brown Road Anytown 99999 JS-01 18 Acres 22 14 06 17 Rangeland NE Corner of Hwy. 140 & 49N Mariposa, CA 95338 2 2/3 1/18/12 16:00 2 acres 524-475