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SU0008066 SSCRPT
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PA-1000008
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SU0008066 SSCRPT
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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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' rr <br /> _:. SAN JOAQUIN COUNTY <br /> 1868 E. HAZELTON AVENUE <br /> r STOCKTON, CA 93205- 2007 <br /> I <br /> Web:www.co.saa joaqtizL ea.W2F0= <br /> F Office:(109)469-3300 Fwu(209)16$-3330 Recorder(NOPs): (309)469-3304 <br /> RESTMCiBD MATERIALS PERMIT <br /> Permit Number: 39-07-3900153 <br /> FUGAZI,JOHN A <br /> county District#: D <br /> P O BOX 509 <br /> LINDEN,CA 95236- Eamon Date: December 31, 2007 <br /> Effective Date: Jmn y IL 1W <br /> 2 adz /4k <br /> r' <br /> JOHN A FUGAa Home Phone: (209) 887-2147 <br /> F17400 E HIGHWAY 26 Shop Phone: (209)8$7-2147 <br /> LINDEN,CA 95236- Moble Phone: (209)470-7699 <br /> FRW <br /> Permittee Type: Private Applicator NOI Method of-Submiadow <br /> Permit Type: Seasonal Phone: X Faw X Box X <br /> Possession Possession&Use In Person X Modem: X Web: X <br /> NOI required 24 hours prior to application. <br /> Fr <br /> Conditions: A,P,Q,W <br /> See end of peewit for <br /> code descriptiow- <br /> I undend=d that this permit does not relieve me from liability for any damages to any persons or property ca wed <br /> by the use of these pesticides. I waive any claims of liability for damages against the County Department of <br /> Agriculture based on the issuance of this permit. I further understand that this permit may be revoked when <br /> pesticides are used in conflict with the mmutfacturer's labeling or in violation of applicable two,regulations and <br /> "cific conditions of this permit. I authorize inspection at all reasonable times and whenever an emergency exists <br /> by the Department of Pesticide Regulation or the County Department of Agriculture of all areas treated or to be <br /> treated,storage facilities for pesticides or emptied containers and equipment used or to be used in the treatment. <br /> I have considered alternatives and mitigation measures pursuant to Title 3.California Code of Regulations,section 6426. <br /> F, Taking into account economic,environmental,social,and technological factors.I have adopted those that are feasible . <br /> and would substantially lessen any significant adverse impact on the enviromnent. <br /> (Form PR-E4F-125 (Rev. 11106)Pesticide EuforcamW Branch <br /> ' Pcnmk licar 0 N I'[ Z(olT�f Signed: <br /> (Please <br /> F, W 4 � -' lum Date:(PlJ � <br /> Titic: <br /> ears OnED <br /> F, IssUing Otriccr. IsomDate: <br /> F <br /> �4 <br /> P&Qe 1 <br />
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