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SU0008066 SSCRPT
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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
Scanner
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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Fj SAN JOAQUIN COUNTY Adikk <br /> 1868 E. HAZELTDN AVENUE <br /> STOCKTON, CA 95205- <br /> Web: wvr.co.san;oaquin.ra.usla�eomm <br /> 1 ., <br /> Office:(209)468-3300 Fax: (209)46$-3330 Recorder(NOI's):(209)468-3300 <br /> F <br /> FUGAZL JOHN A Permit Number. 394)8-3900133 <br /> P 0 BOX 509 County <br /> Dict#- D <br /> LMEN, CA 95236- Expiration Date: December 31,2008 <br /> Effective Date: , .v <br /> /—Z3 <br /> JOHN A FUGAZI Home Phone: (209) 887.2147 <br /> 17400 E HIGHWAY 26 Shop Phone: (209)887-2147 <br /> LINDEN,CA 95236- Mobile Phone: (209)470-7699 <br /> F: Fax: <br /> Permittee Type: Private Applicator N01 Method of Snbmiszion: <br /> Permit Type: Seasonal Phone: X Fact: X Box. <br /> Possession Possession &Use In Person: X Web:,X Modem: <br /> NOI required 24 hours prior to application. <br /> 1 <br /> F Conditions: p. w end d of permit far <br /> ,F,Q, <br /> code descriptions. <br /> —._..._--------..---._.,.------._,,.---.--------------------------- <br /> I underetand that this permit does not relieve me from liability for any damages to any persons or property caused <br /> by the use of these pesticides. I waive any claims of liability for damages against the County Department of <br /> Agric Wture based on the im mee of this permit I further understand that this permit may be revoked when <br /> pesticides are used in owdlict with the mmwfadinv's labeling or in violation of applicable laws,regulations and <br /> F <br /> specific conditions of this permit I uithorize inspection at all reasonable times and whenever an emergency erists <br /> by the Deparunent of Pesticide Regulation or the Ca mly Department of Agciculbre of all areas treater or to be <br /> treated,storage facilities for pesticides or emptied containers and equipment used or to be used in the treatmea <br /> I have cansidared alternatives and mitigation meastr es pursuant to Title 3,California Code of RegWations,section 6424. <br /> Taking into account.eemcmic,envirorunen al,social,and tedmological factors,I have adopted those that are feasible <br /> F ', and would mbetsaitially lesser any significant adverse impact on the environment. <br /> [Form PR-E10-125 (Rev. 11/06)Pesflcide Enforcement Branch] <br /> Permit <br /> F11 A ieanr o ��J \'-A - � &#A r leaseFr !v <br /> Title_ Pent / <br /> OW E(L- Issue Date:(pl <br /> ease Amt) <br /> Issuft OfBcec a�- �_ 1� � Issue Date: 1 Z-z' Ov <br /> F <br /> poor 1 <br />
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