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SU0006822 SSCRPT
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SU0006822 SSCRPT
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Last modified
5/7/2020 11:32:44 AM
Creation date
9/5/2019 11:02:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0006822
PE
2622
FACILITY_NAME
PA-0700506
STREET_NUMBER
18406
Direction
S
STREET_NAME
HAZELHURST
STREET_TYPE
RD
City
ESCALON
APN
24508007
ENTERED_DATE
11/7/2007 12:00:00 AM
SITE_LOCATION
18406 S HAZELHURST RD
RECEIVED_DATE
11/6/2007 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HAZELHURST\18406\PA-0700506\SU0006822\SSC RPT.PDF
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EHD - Public
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L SA?NT JOAQUEN COUNRFV 2005 <br /> L 1868 E. HAZELTON AVENUE <br /> STOCKTON, CA. 9520t5 <br /> E-mail: Web:4vcvar.ec.sa"•jozq��.ca.usla�a�n <br /> L Office: (209)468.3300 .ra3[: (204)468.3330 Recorder CNOI's}: (209)468.3300 <br /> LnPermiitNurnber; 39-05-39030M <br /> L PALI+,��FARlU1S INC., A.D.P. <br /> 18666 E HWY 120 County Di2mct f: B <br /> RRON, CA 95366- Fgiarion Date: December 31, 2005 <br /> LEffective Late: January 1, 2005 <br /> LDOMINIC DEPALN&A Home Phone: (209')_544-4207 <br /> 18666 E IIWY 120 Shop Phone: (209)838-7034 <br /> RIPON, CA 95366- Mobile Phone: (209)531-7851 <br /> Fat: (209) 838-8011 <br /> - Per iritree 'Type: Private Applicator N01 Me hod of zeal=m* s1unc <br /> Permit Type: Seasonal Phorre: X Fn: X Bo e X <br /> Possession: Possession&.Use 1rr Person: X Modem: Web: v <br /> r <br /> N01 rec fired 24 hours prior to applicattiom <br /> see end of pent Fr <br /> CknditikrrS: A�,�,U.�`�'-L°3 soda sscriptiares, <br /> LI understand that this permit does not relieve me from liability for any da raves to a y Persrntis o lnroPerty cai_sed <br /> by the use- of these pesticides. I waive any claims of liability fin-damages against the County Department of <br /> LAgicult re based on the issu�wice of this permit. I further miderstand that Lim permit may be revoked wi er, <br /> pesticides are used in conflict with the manufactuit'n•'s labeling or in violation-:of applicable laces,regulations and <br /> of ecific oinditiLmW of this permit. I authorize inspection at all reasonable times and whLnever ail emergency epists <br /> by the L,eparunent of Pesticide Peguiation or the County Department of Agt°icuttn°e of all areas treated or to be <br /> Ltreated,storage Eacilities Fsa•Pesticides cr,emptied containers and equipment used or to be used in the tr°eamez. <br /> iFt ;n PR:E7:db'-7 2� (1=-ea. G?J='LY Pest+_tide Enforce±ne.'i.E+_°a=_eh 1 <br /> LPeau At,;lrctt: � i l7fY( €r rred: <br /> �)�/p, /'rplcasttc Piic2+ / <br /> iAL <br /> (P'ease <br /> P <br /> 4 _, ,Y`> f'a rl3rer ,:'[� —,e' -- L-S:ie L•%iie: / L C//i1 <br /> V <br />
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