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6. Usage Reports are due by December 1st of each year. TRADE NAME OF PESTICIDE AMOUNT A. I. IN EPA REG. ALL LICENSEES/PERMITTEES CHECK HERE MAJOR CROP NO. NEW HAMPSHIRE DEPARTMENT OF AGRICULTURE THIS REPORT COVERS Division of Pesticide Control PO Box 2042 Concord NH 03301 THE FOLLOWING LICENSEES/ PERMITTEEES NAME APPLICATOR/FIRM YEAR LOCATION/TOWN S 1. Tblspns. etc. 5. No pesticide permits or licenses will be issued until this form has been filled out properly. Report All pesticides used up...

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This report covers financial information.

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