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SU0011567 SSCRPT
EnvironmentalHealth
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SU0011567 SSCRPT
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Last modified
5/7/2020 11:35:15 AM
Creation date
9/6/2019 10:02:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0011567
PE
2622
FACILITY_NAME
PA-1700251
STREET_NUMBER
21379
Direction
N
STREET_NAME
MANN
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
01728009
ENTERED_DATE
11/6/2017 12:00:00 AM
SITE_LOCATION
21379 N MANN RD
RECEIVED_DATE
11/3/2017 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\M\MANN\21379\PA-1700251\SU0011567\SUR SUB RPT ADDENDUM.PDF
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EHD - Public
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' RESTRICTED MATERIALS PERMIT#39-13-3904239 Page 2 of 7 <br /> KOOYMAN,MICHAEL Expires: 12/31/2013 <br /> ' CONTACT LIST <br /> Name Auth Ren. Phone License Exoiration ContactTvoe <br /> ' ALPINE HELICOPTER SERVICE 30969 12/3112014 Pest Control Business <br /> KOOYMAN,MIKE 3998826 12/3112013 Private Applicator Certificate <br /> ' PESTICIDES LIST <br /> Number Pesticide Pests Forms Methods Applicators <br /> ' 1050 CARBARYL LARVAE All Reg. Air/Ground PCB/Operator <br /> 2000 DICAMBA WEEDS All Reg. Air/Ground PCB/Operator <br /> ' 2310 DIURON WEEDS All Reg. Ground PCB/Operator <br /> 3830 METHOMYL LARVAE All Reg. Air/Ground PCB/Operator <br /> 5310 SIMAZINE WEEDS All Reg. Ground PCB/Operator <br /> ' 7860 MCPA, DIMETHYLAMINE WEEDS All Reg. Air/Ground PCB/Operator <br /> 8041 2,4-DB WEEDS All Reg. Air/Ground PCB/Operator <br /> 9801 2,4-DAMINE WEEDS All Reg. Air/Ground PCB/Operator <br /> ' 16011 PARAQUAT WEEDS All Reg. Air/Ground PCB/Operator <br /> ' SITES LIST <br /> Site Location I Site Name District Section (MTRS) <br /> ' Commodity Name/Code ' Quantity <br /> 3-2 1/2 MI S/JAHANT 1/2 MI E/DUSTIN F M04N07E17 <br /> ALFALFA 123001.0 12 ACRES <br /> ' Pesticide#s: 8041 (2,4-DB), 16011 (PARAQUAT) <br /> Conditions: B -RM Use Near Schools, P-General, Q-Dicamba & Phenoxy Herbicide CV <br /> ' 3-3 S/E DUSTIN &JAHANT F M04N07E16 <br /> ALFALFA/23001-0 20 ACRES <br /> Pesticide#s: 8041 (2,4-DB), 16011 (PARAQUAT) <br /> ' Conditions: B-RM Use Near Schools, P-General, Q-Dicamba&Phenoxy Herbicide CV <br /> 3-1A N/JAHANT 1/2 MI W/DUSTIN F M04N07E08 <br /> ' ALFALFA 123001-0 32 ACRES <br /> Pesticide#s: 8041 (2,4-DB), 16011 (PARAQUAT) <br /> Conditions: B-RM Use Near Schools, P-General, Q-Dicamba&Phenoxy Herbicide CV <br /> ' 1-2 GWPA RUNOFF S JAHANT 1 MI E/BENDER F M04N06E15 <br /> CORN FOR/FOD/22005-0 30 ACRES <br /> ' Pesticide#s: 1050(CARBARYL), 2000(DICAMBA), 3830(METHOMYL) <br /> WHEAT FORIFOD 122007-0 30 ACRES <br /> Pesticide#s: 2000 (DICAMBA), 7860 (MCPA, DIMETHYLAMINE), 9801 (2,4-D AMINE) <br /> ' Conditions: B- RM Use Near Schools, P-General, Q-Dicamba &Phenoxy Herbicide CV <br />
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