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SU0004637 SSCRPT
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SU0004637 SSCRPT
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Entry Properties
Last modified
5/7/2020 11:31:01 AM
Creation date
9/6/2019 10:25:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0004637
PE
2622
FACILITY_NAME
PA-0400301
STREET_NUMBER
23800
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
02105090
ENTERED_DATE
9/27/2004 12:00:00 AM
SITE_LOCATION
23800 N JACK TONE RD
RECEIVED_DATE
6/9/2004 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\23800\PA-0400301\SU0004637\SSC RPT.PDF
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EHD - Public
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4 <br /> € '} SAN JOAQUIN COUNTY <br /> ! S.I x`663 E . HAZEL T uN AVENUE (( <br /> STOCKTON, CA c 5205 <br /> flice: ( 204 )465--3300 recorder (NOI ) : ( 2u9 ) 40x8-3. 00 FAX : ( 203)468-3330 <br /> RESTRICT=D MATERIALS PERMIT R._rrr,i ter`: -9-01-3904501 <br /> County Ho District#: E - <br /> SILVA u raQNS k`7AiRY, T fwli iv .E-xpiration Late: 12,/_=/2 01 <br /> 23.500 N .TACK TONE RD Ef ective Cate <br /> FCAMPO, CA 45220-.A <br /> LARRY S I LVA Fcme ; (' 05"•'309 -:.SrO <br /> F23000 N ,JACK: TONE RIS Shop: i2•G5')334-9655 <br /> ACAMPO, CA 45220- - <br /> flobi.le : <br /> r ermittee Type Penni;: Ty pa Pr�ssession NGi- MethodofSublr_ssxon-- <br /> rf�r�Vclte ,f7171a ' se =E J �I ^ � pfrr5 � it f 11 ;{ l Ph7f1e-Y_ f Aj <br /> V I FaX <br /> C 1A Carl: Joie Poss only r i 3C. EAl Modem <br /> FAg ;^-CC C <br /> in rson L,h] <br /> Non-Ag' C ; .IGT requit^Ld 24 hou: s prior to .apPlicatian <br /> 41-•�� :S 1-:.[)_-u..-•-i`+1et f"'IOfa .� ) App i l l`a�.-ori'=') <br /> Numb Pesticide P_=6 a ) P <br /> --- <br /> I � l :•KEVIN #- VAE LigLlib Air firi:;Ucid PCc Growe:- <br /> 0'7, r.= OMYL LARVAE- Liquid Ger UrQund PCC Grower <br /> i <br /> X1601 i r'�=ARA.01J�T WEEDS S L Ig;.i --+.i.r Gros:n ld P C 0 CrQWe:r <br />` F`[S <br /> I <br />{ <br /> fflon-A.g <br /> Use : <br /> Conditions: PZ <br /> � I understand that this permit does not relieve me fromliabilityfor-any damage <br /> to persons or property caused by the use of these pesticides. 1 waive any <br /> claim of liability for damages against the County Department of Agriculture <br /> F.based on the issuance of this permit. I further Linderstand that this permit <br /> FFF'may be revoked when pesticides are used in conflict with the manufacturer' s <br /> labeling or in violation of applicable laws, regulations and speci:-ic <br /> Fconditions of this permit. I authorize inspection at all reasonable times and <br /> -whenever an emergenc;r exists, by the Department of Pesticide Pe'gulation car the <br /> Cuc.n�ty Department of Agriculture ct all areas treated car to be treated , storage <br /> fa+cilities Tor pesticides pr emptier) containers and _equipment used or to be used <br /> F <br /> in the treatment. . [Form PR--ENF--125 (Rev. 07/q2) Pesticide Enforcement Branch-] <br /> Pesrr;lit Applicant: a Sign : <br /> FTitle: •�' Date: r� D <br /> I + , <br /> Issuing Officer: Date: ! <br /> 1 <br /> a <br />
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