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SU0008248 SSCRPT
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SU0008248 SSCRPT
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Entry Properties
Last modified
5/7/2020 11:33:25 AM
Creation date
9/4/2019 6:08:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0008248
PE
2622
FACILITY_NAME
PA-1000094
STREET_NUMBER
1921
Direction
N
STREET_NAME
ESCALON BELLOTA
STREET_TYPE
RD
City
LINDEN
APN
09314006
ENTERED_DATE
5/10/2010 12:00:00 AM
SITE_LOCATION
1921 N ESCALON BELLOTA RD
RECEIVED_DATE
5/7/2010 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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Supplemental fields
FilePath
\MIGRATIONS\E\ESCALON BELLOTA\1921\PA-1000094\SU0008248\SSR RPT.PDF
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EHD - Public
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SA_N JOA UIN COL T Y7 <br /> STOC TON, CA 95206- <br /> U'Tebmww.co.San joaquin-Ca,Iz-siagConm <br /> Office: (209)953"-6000 Fax: -209)9=3-6022 Recorder(NOI's): (2109)953-6000 . <br /> �J <br /> ATFTN�RROR pPYY7i tt ittii 7e?i" - <br /> � P 0 ROY 471 Cotuity District#: D <br /> Ly <br /> 6.TNT)FN CA (. .f".M16_ Expiration Date: December 31, 2009 <br /> Effective Date: / fjr <br /> ANDRFW A.YFK WATKTNT5% Home Phone: <br /> P ()ROY 472 <br /> .i �" Shop Phone: <br /> T.TFCA 9Ao�ile Froa€: <br /> l.�1��1��'4 <br /> _RW1 <br /> Fax: f:'!?9) <br /> I Permittee Twe: Private kPplicator N01 MefoiT of Subruissaa : <br /> Pest Type: -Ren-:,-nnal Pho:ae: Vic' Fax: Y- Box: <br /> Possession: Possession &Use In Person: Y Web:X <br /> NOI reauired 24 hours unor to amlication. <br /> Ml 'alley <br /> Conditions: ,P,Q,U`,,r See erd of permit for <br /> code descriptions. <br /> i ___ <br /> + I understand treat tY:is piny it dnra of relive rune fmm liability for any damagesto any pees orpropel , <br /> ca =.ed by the use of these pesucides. I waive any claims of liability for datriages against the Cc=y Depsrtrcient of <br /> Agriculture Erased or,the issuance of this perrnit. !further understand that this permit may be revcised when <br /> pesticides are used in conflict with the rnanufa-tur-er's labeling or m violation of applicable laws,regulate is and <br /> specific cmditions of this pe€rnit. I authorize inspection at all rea5cnable times and whenever an emergency exists <br /> by the Department of Pesticide Regulatices ar-the County I7epartrr ent of Agriculture of all area:treated or to be <br /> treated,:gage facilities fd-pesticides or emptied containers and equipment used or to be used in the treabnesnt. <br /> I have considered alternatives End mitigation rneasizes pursuant to Title 3,California Code of Regulations,section,€426. <br /> Taking into acr-aint econornic,environmental,social,and tedinolcgical factars,I have adopted those that are feasible <br /> and wound substantially lessers any significant adverse impact en the envirmment. <br /> [Fcirm Psi-ENF-125 ;Rev. 11I Pesticide F farcerrient Brands] <br /> Permit Applica ut: � �/�t�. t��— Si g ne L/-' <br /> (Please Prim) <br /> Title: `eease f o <br /> ✓ r Issue Date: <br /> 0lam i= OfficerN Issmue Date: �e -ac)v <br /> L-J U:sra I <br />
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