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SU0009422 SSCRPT
EnvironmentalHealth
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PA-1200226
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SU0009422 SSCRPT
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Last modified
5/7/2020 11:34:01 AM
Creation date
9/6/2019 10:25:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0009422
PE
2622
FACILITY_NAME
PA-1200226
STREET_NUMBER
23350
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
02105008
ENTERED_DATE
11/26/2012 12:00:00 AM
SITE_LOCATION
23350 N JACK TONE RD
RECEIVED_DATE
11/26/2012 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\23350\PA-1200226\SU0009422\SSC RPT.PDF
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EHD - Public
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RESTRICTED MATERIALS PERMIT#39-12-3904762 Page 2 of 6 <br /> PI RES,ANTON IO Expires: 12/31/2012 <br /> CONTACT LIST <br /> Name Auth Rep. Phone License Expiration Contact Tyne <br /> PIRES, TONY S (209) 996-0841 3900462 12/31/2013 Private Applicator Certificate <br /> ALPINE HELICOPTER SERVICE (209) 368-8530 30969 12/31/2012 Pest Control Business <br /> PESTICIDES LIST <br /> Number Pesticide Pests Fortes Methods Applicators <br /> 1050 CARBARYL INSECTS All Reg. Air/Ground PCB/Operator <br /> 2000 DICAMBA WEEDS All Reg. Air/Ground PCB/Operator <br /> — 3830 METHOMYL INSECTS All Reg. Air/Ground PCB/Operator <br /> 7860 MCPA, DIMETHYLAMINE WEEDS All Reg. Air/Ground PCB/Operator <br /> 9801 2,4-D AMINE WEEDS All Reg. Air/Ground PCB/Operator <br /> SITES LIST <br /> Site Location District Section (MTRS) <br /> Commodity Name/Code Quantity Pesticide#s <br /> 1-1 S/E CRNR JACK TONE/JAHANT F M04N08E18 <br /> CORN FOR/FOD/22005-0 80 ACRES 1050 (CARBARYL), 3830 (METHOMYL) <br /> OAT FOR/FOD/22006-0 115 ACRES 2000 (DICAMBA), 7860 (MCPA, <br /> DIMETHYLAMINE), 9801 (2,4-D AMINE) <br /> RYEGRAS FOR/FOD 122035-0 35 ACRES 7860 (MCPA, DIMETHYLAMINE) <br /> Conditions: P -General, 0- Dicamba &Phenoxy Herbicide CV <br /> OPERATION-WIDE CONDITIONS <br /> A Permit Cond.Table of Contents <br /> A- PERMIT CONDITIONS-TABLE OF CONTENTS <br /> r <br /> WORKERS SAFETY SERIES ATTACHED <br /> [ ]A-1 through A-11 General Information <br /> PERMIT CONDITONS ATTACHED <br /> [ ] O-Aluminum Phosphide in Rodent Burrows <br /> [X] P-General <br /> [ ] 0- Dicamba & Phenoxy Herbicides-Central Valley/Hazardous Area <br /> [ ] <br /> R- Dicamba &Phenoxys- Special Hazardous Area <br /> [ ] <br /> S - Metam Sodium, Metam Potassium, Dazomet <br /> [ ] <br /> T- Aldicarb (Temik) <br /> [ j <br /> U - Endosulfan (Thiodan) <br /> [ ] <br /> V- Rice Pesticides Program <br /> [ ]-Attachments 1-5 Thiobencarb(Forms A,B) <br /> [ ]W- Methyl Bromide/Sulfuryl Fluoride <br /> [ ]- Soil within greenhouses <br /> [ ]-Commodity <br /> [ ] -Soil injection <br />
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