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WARNING PESTICIDE DATE & TIME OF APPLICATION ____ CONTACT INFORMATION ____ ADDRESS ____ TELEPHONE NUMBER ____ DATE & TIME AREA MAY BE RE-ENTERED ____

NHEP-27405-Alaska
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WARNING SIGN MAY BE REMOVED 24 HOURS AFTER APPLICATION PESTICIDE NAME ____ EPA REGISTRATION# ____ DATE & TIME OF APPLICATION ____ CONTACT NAME ____ ADDRESS ____ TELEPHONE NUMBER ____ DATE AND TIME AREA MAY BE RE-ENTERED ____

NHE-27406-Alaska
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