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SU0008066 SSCRPT
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SU0008066 SSCRPT
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Entry Properties
Last modified
5/7/2020 11:33:20 AM
Creation date
9/6/2019 10:22:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0008066
PE
2622
FACILITY_NAME
PA-1000008
STREET_NUMBER
10850
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
LINDEN
APN
06506002 03
ENTERED_DATE
1/25/2010 12:00:00 AM
SITE_LOCATION
10850 N JACK TONE RD
RECEIVED_DATE
1/25/2010 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\J\JACK TONE\10850\PA-1000008\SU0008066\SSC RPT.PDF
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EHD - Public
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JILL(C-8.21 lis-8.13/H-7.73/13-9.1) User:Alpine Helicopter Service 8141200: 11:24:26AM Version:5.6 <br /> STATE OF CALIFORNIA - ENVIRONMENTAL PROTECTION AGENCY <br /> FDEPARTMENT OF PESTICIDE REGULATION <br /> PESTICIDE USE REPORT (33-025 Rev 3190) PMIS 0033 <br /> Rec.#M05-APL-00630-3 <br /> ( } Nursery <br /> County Section Township Range Base&Meridian Method Permitte/Customer Applicator Name&Address <br /> 39 30 3N 8E M A J&J FARMING LLC ALPINE HELICOPTER SERVICE,IN( <br /> Operator Identification Number Site Identification Number Planted Area P.O.BOX 1405 <br /> 39-05-39-00461 1-8 32.00 ac WOODBRIDGE,CA 95258 <br /> .Location Block ID 1-8 <br /> •E/Jack Tone S/Moser Slough <br /> Date/Time Applied Area Treated Commodity or Site Treated Crop ID <br /> Proposed:08/02/05 10:00 am Actual <br /> Actual: 08/02/05 10:00 am 32.00 ac Corn Forage/Fodder 22005-00 <br /> Restricted Chemical I Registration Number Total Formulated Rate Per Dilution <br /> Material Number Product and Manufacturer From Label Product Used ac Volume <br /> N 445 Comite 400-104-ZA 10.00 2.50 10.00 <br /> Crompton Uniroyal Chemical gal pt gal <br /> Days Reentry Days Preharvest Application Supervised By NW N NE <br /> 24 hr day STEPHEN BRUNSKILL <br /> Environmental Changes 1 Comments <br /> W E <br /> Target Area <br /> Submitted By: Date Time PCA Name SW S SE <br /> Joel Dozhier 08/04/05 11:24AM WILLIAM VIGNOLO 8167 <br /> Received By: Box No. Date Time Approved <br /> Denied <br /> F <br /> F <br /> F <br /> A U"S 0 8 2005 <br /> F" <br /> C <br /> Fit' <br /> F <br /> ki <br />
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