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SU0004527 SSCRPT
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SU0004527 SSCRPT
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Last modified
5/7/2020 11:30:51 AM
Creation date
9/6/2019 10:39:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0004527
PE
2622
FACILITY_NAME
PA-0400358
STREET_NUMBER
12400
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
APN
06325002
ENTERED_DATE
7/6/2004 12:00:00 AM
SITE_LOCATION
12400 E KETTLEMAN LN
RECEIVED_DATE
6/30/2004 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\K\KETTLEMAN\12400\PA-0400358\SU0004527\SSC RPT.PDF
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EHD - Public
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1868 E. HAZELTON AVENUE AUtr(p <br /> r STOChTON,CA 95205- <br /> E-mail: Web:u+ x.cu.s=-jo aguin.ca.uslagcomm <br /> Office: f2119)468,3.300 Fa7: (209)468.3330 Recd der�NOI's): (209)488.3300 <br /> r <br /> RESTRICTED MATFRIALS PEM11T <br /> COTTA VINEYARDS,JOE A Permit Number: 39-06-3400525 - <br /> r 9--14 KOST RD County District#: E <br /> GALT, CA 95632 Expiration Date: December 31, 2006 <br /> `. Effective Date: 4 D� <br /> t Z7 <br /> Jill~A COTTA Home Phone: (209)745-4538 <br /> 9414 DOST RD Shop Phone: (209)745-4538 <br /> GAIT, (-'A 95632 Mobile Phone: (209)649-6911 <br /> Fax: (209) 744-1403 <br /> Pernittce 'Type: Private.Applicat.or ;CJI Method of 3.ubuibsion <br /> Peranit Type: Seasonal Phone: X Fax: Box: <br /> Possession: Possession &Use hi Person X :Modem: Web: <br /> NOI required 24 hours prior to application. <br /> Conditions, l—� see end of Pe_*nnil fac <br /> Code deaeiptions: <br /> r <br /> ------------------------------------------------ <br /> i understand that this pernit doers not relieve me$tion liability fcc any damages to ally 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 /> Agricultw-e based on the issuance of this permit I further waderrtand that this pemait may be revolted when <br /> pesicides are used in conflict with the ma<rufadureHa labeling or in violation of applicable laws,rqulationa and <br /> r 4.nific conditions of thin pe<init I authorize inspection at ail reaaoaable times and whenever all enefgency M-4-8 <br /> by the Depattment of Peticide Regulation cr the Coity Departmax of Agricultw•e of all areas treated or-tube <br /> treated,storage facilities for pesticides or eiiptied containers and equipment used or to be used its the treahnent. <br /> !Firm PR-EMF-12.4 (Rev. 07.r92)PesticideFAifet-,tirientBrandi] <br /> Perresit Applicant: <JC2 Signed: <br /> t°Please Fant) //� <br /> -- finite: P.PFs- Issue Date: <br /> (P,ease Print, <br /> Issuing officer.��/1�{gi,-[��,�,(t� �A Issue Date: <br /> r <br />
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