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SU0010912 SSCRPT
EnvironmentalHealth
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2600 - Land Use Program
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PA-1600119
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SU0010912 SSCRPT
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Entry Properties
Last modified
5/7/2020 11:34:50 AM
Creation date
9/6/2019 10:09:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0010912
PE
2622
FACILITY_NAME
PA-1600119
STREET_NUMBER
19099
Direction
E
STREET_NAME
MEHRTEN
STREET_TYPE
RD
City
CLEMENTS
Zip
95227-
APN
02302005
ENTERED_DATE
5/16/2016 12:00:00 AM
SITE_LOCATION
19099 E MEHRTEN RD
RECEIVED_DATE
5/16/2016 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\M\MEHRTEN\19099\PA-1600119\SU0010912\SURSUB RPT.PDF
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EHD - Public
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APPLICATION - RESTRICTED MATERIALS PERMIT- SUPPL/E/}M PERMITNO. <br /> PAGE NO. <br /> MAP ACRES/ DILUTION/ DATE/ <br /> -OCATION SEC TWN OM RNG ID CODI UNITS PESTICIDES A PESTS F' M" RATE VOLUME APPL TIMING <br /> 7. - Gd fez 37 Afa <br /> 3. v4R—( Go d <br /> 3. Z - 2 8 la 4 z <br /> 10. f <br /> 11. 10 <br /> 12. 6_ Z 2-0 re 7?✓ <br /> 13. F3 <br /> 14. U <br /> 15. <br /> 16. 2© OL fJ <br /> 17. ' 2- <br /> 18.18. <br /> 19. 6 C <br /> 20. <br /> 21. <br /> 22. <br /> 23. <br /> 24. <br /> 25. <br /> 26. <br /> 27. <br /> 28. <br /> 29. <br /> 30. <br /> 31. <br /> Formulation:L--Liquid B—Bait D—Dust F--Fumigant G—Granules <br /> .� <br /> VP—Wettable Powder O--Other APPLICANT SIGNATURE _ DATE z <br /> `Method: A—Air F—Fumigation Gr—Ground O—Other ISSUED BvL )tGDATE / <br /> STATE OF CALIFORNIA <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> )ISTRIBUTION:WHITE&YELLOW-COUNTY AGRICULTURAL COMMISSIONER;PINK&GOLD-PERMITTEE ®OSP 08109802 PR-ENF-12M(REV.10/07)Page l oft <br />
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