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SU0003887 SSCRPT
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SU0003887 SSCRPT
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Entry Properties
Last modified
5/7/2020 11:30:14 AM
Creation date
9/5/2019 11:16:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0003887
PE
2622
FACILITY_NAME
PA-0300332
STREET_NUMBER
9249
Direction
S
STREET_NAME
HENRY
STREET_TYPE
RD
City
FARMINGTON
APN
20707013
ENTERED_DATE
5/11/2004 12:00:00 AM
SITE_LOCATION
9249 S HENRY RD
RECEIVED_DATE
7/15/2003 12:00:00 AM
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HENRY\9249\PA-0300332\SU0003887\SSC RPT.PDF
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EHD - Public
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wA>J, URI_ <br />L E-mail <br />/ ,e <br />993 SAH JOAQUIN COUNTY <br />1e•r,8 E. HAZELTON AVEH <br />STOCKTON , CA 95205 <br />www.co.san-ioaquin.ca-us/aycomm <br />CE,_)rnia and Federal restricted <br />materials shall be possessed, used, <br />and stored by a licensed Pest <br />Control Business (PCB) only. Deliver <br />these materials to PCBs only. 44 <br />(209;46c`j-:1300 Recorder (NOI):(903)968-3300 FAX:(2051963-3330 <br />LPERMIT 4:: 39-03-39034 . pE^TFT.^.TED MATF:FT.AT. PEPMTT County HQ District, $1 C <br />L Expiration Dake. 12`'_+1 00' <br />rE r -u sE. ''LITH <br />Effect.iU•a Datt<. ^� <br />9345 a HENRY R'.OADD i/2`flr2oe'? <br />FARMINGTi7H. C. 9523LI <br />ho K.EI.;i P> E <br />9:; 9 `, S HENRY P(JAD <br />FAPMINC�TON (-'A 953:30 <br />r <br />Home. Yt15ir;::' ; <br />:b,iGG <br />Mat,lls • 20949'04"' <br />-.errnl t t ee' Type< <br />Pei mi t. Type <br />Pti.,6'32c'6i•.:,ti- <br />01 <br />-_ ----.. __.--_ _ _ .-_. <br />. _ . ------ ---- <br />----------- - -- <br />P,.ivate App_j i <br />---=-------- <br />Seasonal 1.:I <br />hn..; �: t: U��a IRI <br />Phone j%! <br />Pho <br />BOX <br />Fax ;Y( <br />Modem 1 <br />n '% cert 1 f <br />r� <br />-T +b I 1 <br />.-...._ <br />,.osz: Only i l <br />It, Parson 1Xl <br />web Ix <br />Ay PCO 1XI <br />NOI required <br />24 hours Prior <br />to aPplicatic,n <br />tdon-Ag I I <br />------------------------'---------- <br />--------- <br />1 Pian -Ag use: Hone <br />i�ronditYons: PQ <br />S ltnrrE.t"::;t`ttlr.} That Yhit= p='rmlt drre5 not relieve trie from 11abi1 eta,-_—= %3tt',✓ dat•.:e.Ue <br />L anti• <br />to rt c:n_: or }*roi>erty u1D:•_i by the use of these Pestiiicla 1tuxe <br />ciai.,+ ,i iia+blliYy fol damag -' against the County' ilePar:xrvnt <br />ba3aci 1L;11 the ij�suance of thiE; permit. I further -understand that „1 : Permit. <br />mciv be ru^C,ketl when pesticide= are used in conflict with the ma uf:fi'turpr`s <br />` labe,iittn• or in ,iolatian of applicable laws, regulation-- an%I p <br />condition* C+. this Pertait. I authorize inspection at all reasoner^la times and <br />Whantvel an .:emer:}ancy Ox-lstz- by the Department of Pesticide Regulationed. or <br />C:ounc.y De+perttneni of Agriculture of all areas treated or to be <br />facilities for Pestici•7ea or emptied containers and equipment used cr to <br />be usel. <br />ir, t.i,e treatrnenY. (Form PR-ENP-125�(�gR,e�v. 07/921 Pesticide Enfo.cari:ent branch <br />LFermi` Applicant. G O �F•""`sS� Sign: O <br />Tltl«3: <br />_ Issue Date: <br />L'1:s_uing OfIssue Date: <br />Page 1 <br />6. <br />L <br />L <br />
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