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.. <br />j.. ~ .` 1~ .,, - <br />1: <br />' UPPER SAN' JUAN WEED '& PEST- ASSOC. ~ <br />FIELD SPRAYING .REPORT ~ .. <br />,• <br />;.~.. , <br />. 1 Y. ~ .. <br />,~ ~'- <br />.r <br />s <br />INVOICE #: ~ ~~,DATE: TIME: //~.•3e• ~Z~•~D~'/~~'/; <br />CUSTOMER: ~C e~ tom,[ .S~/Q~~~ w5v L~pS' ~" <br />• ADDRESS: ~~~.~ •iPf '~ .i /r x ~ Z /0 <br />CITY: VACOSna~'+,voaS STATE: e'' ZIP: g ~ ~ ~7 <br />=<< v V ~'~ <br />;PHONE:. $ 3^ Z L ~~ - J lnx~ <br />R: k <br />PEST: SOIL TYPE: ~~ SLOPE: DIR. OF SLOPE: <br />• GALLONS/ACRE: ,~• WIND SPEED: IND DIR: TEMP: G HUMIDITY: <br />ACRES SPRAYED: T LEGAL DESCRIPTION: ' <br />SURFACTANT: ~~~;~~ y«T LOCATION IN`FEILD: <br />1ST CHEMICAL : --n ~~~ a M BRAND: a c ~•at1 ' <br />ACTIVE RATE: hyr ~ 15T•.LOT #: ~F3o5 Z S` Sam/ '' <br />~_1ST EPA REG #: y~ Y-_~L 3 1ST EPA EST #: <br />2ND CHEMICAL: ~ SRAND: ~- O <br />' ACTIVE RATE: / 2ND'-LOT #: 7DLS'~ p,/yp~/ <br />2ND EPA REG # : Z Z 17- 703 2ND EPA EST. # : Z •Z/'~ '/\ S~ / <br />3RD CHEMICAL: BRAND: - <br />' ACTIVE RATE: 3RD LOT #: <br />3RD EPA REG #: .3RD EPA EST #: <br />r`COMt•~ENTS: ~~ Dlia ~ /~-1{ir, ~c; ~ ~~~Pe ~r w~T <br />j "''`4y ~ ~ <br />~~l)y,!. K . i <br />.. ~ -. <br />r <br />' / ~ Q r-- <br />1... (.~ ~ ~ /~ <br />O~ <br />Please enter all data as accurately and completely as possible. <br /> <br />~ , <br />i -, <br />