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' SAN JOAQUIN COUNTY Office Use only <br /> ' AGRICULTURAL COMMISSIONER File No: <br /> 2101 E. EARHART AVENUE SUITE 100 <br /> STOCKTON CA 95206 Received: <br /> PHONE: (209) 953-6000 <br /> PUBLIC RECORDS REQUEST FORM <br /> ' - Records requests are processed in the order received - <br /> Records are available current year+ last 4 years <br /> Complete the form and fax to (209) 953-6022 <br /> Attention: Hiromi Hernandez <br /> Or Email to StOcktonaQ2Ca)sigov.orQ <br /> ' TODAY'S DATE REQUESTER'S NAME <br /> 10/2012017 Cheryl Gregory <br /> REQUESTER'S BUSINESS NAME BUSINESS MAILING ADDRESS <br /> ' Dillon & Murphy PO Box 2180, Lodi, CA 95241 <br /> CONTACT PHONE NUMBER EMAIL ADDRESS <br /> 209-334-6613 cgregory@dillonandmurphy.com <br /> 'I am requesting copy of. <br /> ' ® Pesticide Use Reports ® Restricted Materials Permit/ <br /> of specific growers) Operator ID of specific growers) ❑ Other: <br /> CHARGES: First 21 copies at$0.10/copy. Each copy thereafter is $0.071copy. Hard copies only. <br /> t If files are found under the information submitted, you will be invoiced. <br /> Fee is due at the time of pickup. <br /> ' Year(s) Requested : 2012 -2017 Grower/Ranch Name: Octavio Medina <br /> Restricted Materials Permit Number Site ID APN <br /> 157-253-13 <br /> ' Location I Address Section Township Range <br /> 824 S. Hinkley Ave, Stockton, CA 95215 <br /> Additional Information <br /> 1 <br /> ❖ If you are requesting data of ALL Permit Holders In San Joaquin County, go to "Downloadable Data" <br /> or click here. <br /> Data File includes: <br /> ➢ Permit Number& Permit Holder Name/ Mailing Address <br /> ' ➢ Permit Issue & Expiration Date <br /> ➢ Site ID /Crop Names/Acreage of each crop <br /> t If you are requesting data of ALL Pesticide Use Reports/Agricultural Pest Control Business County <br /> Registrations in San Joaquin County, go to "Downloadable Data"or click here. <br /> ' •3 If you are requesting data of"Certified Producers Certificate Holders"or "Organic Program"or <br /> "Farmers Market", go to "Certified Producers/Farmers Market/Organic Program"Request Form. <br /> 'San Joaquin County policy considers phone numbers and email addresses confidential information, they are <br /> not included in the data file. <br /> 'Rev.07/2015 <br />