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SU0009506 SSCRPT
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SU0009506 SSCRPT
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Last modified
5/7/2020 11:34:04 AM
Creation date
9/4/2019 6:38:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0009506
PE
2622
FACILITY_NAME
PA-1300015
STREET_NUMBER
17601
Direction
E
STREET_NAME
FRAZIER
STREET_TYPE
RD
City
LINDEN
APN
06511006 07 08 09
ENTERED_DATE
2/5/2013 12:00:00 AM
SITE_LOCATION
17601 E FRAZIER RD
RECEIVED_DATE
2/5/2013 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\F\FRAZIER\17601\PA-1300015\SU0009506\SSC RPT.PDF
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EHD - Public
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AdMIL <br /> SAN JOAQUIN COUNTY <br /> 1868 E. HAZELTON AVENUE <br /> STOCKTON, CA 95205- 4P <br /> Web:www.co.son-joagwa ca.uslagcomm <br /> Office: (209)468.3300 Fax: (209>468-3330 Recorder(NOI's): (209)468.3300 <br /> MELLOR RANCH,B Permit Number: 39.08-3900310 <br /> P.O.BOX 794 County District ii: D <br /> LINDEN, CA 95236 Expiration Date: December 31, 2008 <br /> Effective Date: January-01, <br /> BRIAN L MELLOR Home Phone: <br /> P.O.BOX 794 Shop Phone: <br /> LINDEN, CA 95236 Mobile Phone: <br /> - Fax: <br /> Permittee Type: Private Applicator NOI Method of Submission: <br /> Permit Type: Seasonal Phone: X Fax: X Box: <br /> Possession: Possession & Use In Person: X Modem: Web: X <br /> NOI required 24 hours prior to application. <br /> Conditions: A,P,Q,U,W <br /> See and of pest fm <br /> code descriptions. <br /> -------------------------- ------------ --- -- --- <br /> I <br /> ------------ __ __----_----_ —_- -_ --_I understand that this permit does not relieve me from liability for any damages to any persons or property caused <br /> by the use of these pesticides. I waive any claims of liability for damages against the Canty Department of <br /> Agri culture based on the issuance of this permit I fwther understand that this permit may be revoked when <br /> pesticides are used in conflict with the manufad hen's labeling or in violation of applicable laws,regulations and <br /> specific conditions of this pemut I authorize inspection at all reasmable times and whenever an emergency exists <br /> by the Department of Pesticide Regulation or the Canty Department of Agriculture of all areas treated or to be <br /> treated, storage facilities for pesticides or emptied containers and equipment used or to be used in the treatment. <br /> _ I have considered alternatives and mitigation measures pw-slard to Title 3,California Code of Regulations, sedim 6126. <br /> Taking into account t eananic,environmental,social,and technological faders,I have adopted those that are feasible <br /> and would substantially lessen any significant adverse impact on the environment <br /> [Form PR-EI-IF-125 (Rev. 11/06)Partici a Enforcem t Branch ] <br /> Permit Applicant �Ue 7 S Signed <br /> `/ease Pri/n�s <br /> Issue Date: I I6—D(y <br /> (]lease t) <br /> Issuing Officer. �e ��� Issue Date: /�PJ <br />
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