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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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SAN JOAQUIN COUNTY 200 <br /> 1868 E- HAZEI.TON AVENUE <br /> FSTOCKTON, CA 95205- <br /> E-mail: Web:vnrovw.co.san ionquia.ea usfageomm <br /> + Office: (109)468.3300 Fax: (209)468.3330 Recorder(HOrs): (309)468.3300 <br /> RESTRICTED MATERIALS PERMIT <br /> J&J FARMHNG LLC Permit Number: 3943-3900461 <br /> 13342 E.IIGITi'MII.E RD. <br /> County District##: H <br /> STOCKTON,CA 95215- F-Viwation Date: December 31,2005 <br /> Effective Date: January Ir19W <br /> WALTER GYR Home Phone: (209)931-3417 <br /> 13342 K EIGHT MILE RD. Shop Phone: ) - <br /> STOCKTON, CA 95215- Mobile Phone: ( ) - <br /> Fsx <br /> Permittee Type: Private Applicator NOI Method of Submission: <br /> k Permit Type: Seasonal Phone: X Far. X Box <br /> Possession: Possession&Use In Person: X Modem: X Web: X <br /> NOI required 24 hours prior to application <br /> Conditions: A,P,Q,W see end of penmt for <br /> code descriptions. <br /> I understand 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 /> Agriculture based on the issuance of this permit I further understand that this permit may be revoked when <br /> f pesticides are used in conflict with the manufactaareeo labeling or in violation of applicable laws,regulations and <br /> specific 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 /> i treated,storage facilities for pesticides or emptied containers and equipment used or to be used in the treatment <br /> f [Form PR-ENF-125 (Rev. 07/92)Pesticide Enforcement Branch <br /> Fill i <br /> Permit Applies Sipped <br /> ase Print' ) <br /> f; <br /> Title: A'a a a r�- Issue Date: <br /> .� as <br /> Issuing Officer: _ _ /�� ��.-�- Issue Date, <br /> i - - <br />
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