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SU0004722 SSCRPT
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SU0004722 SSCRPT
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Last modified
5/7/2020 11:31:09 AM
Creation date
9/6/2019 11:02:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0004722
PE
2631
FACILITY_NAME
PA-0400693
STREET_NUMBER
30400
Direction
E
STREET_NAME
LONE TREE
STREET_TYPE
RD
City
OAKDALE
Zip
95361
APN
22914011
ENTERED_DATE
11/24/2004 12:00:00 AM
SITE_LOCATION
30400 E LONE TREE RD
RECEIVED_DATE
11/23/2004 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\L\LONE TREE\30400\PA-0400693\SU0004722\SSC RPT.PDF
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EHD - Public
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SAN JOAQUIN COUNTY <br /> 1868 E. HAZELTON AVENUE <br /> STOCKTON, CA 95205- 46 <br /> E-mail: Web:www.co.samjoaquin.ca.uslagcomm <br /> Office: (209)468.3300 Fax: (209)468.3330 Recorder(NOI's): (209)468.3300 <br /> RESTRICTED MATERIALS PERNIIT <br /> GREEN FARMS Permit Number: 39-05-390317 <br /> 30324 E LONE TREE RD Cowuy District#: C <br /> OAKDALE, CA 95361- Expiration Date: December 31, 2005 <br /> Effective Date: s..•.om. , lop i <br /> RICK GREEN Home Phone: (209)848-0401 <br /> 30324E LUNE TREE RD Shop Phone: (209) 847-1238 <br /> �. OAKDALE, CA 95361- Mobile Phone: (209)985-3930 <br /> Fax: <br /> 6. Penoittee Type: Private Applicator NOI Method of Submission: <br /> Permit Type: Seasonal Phone: X Fax X Box: X <br /> Possession: Possession&Use In Person: X Modem: Web: x <br /> L <br /> NOI required 24 hours prior to application. <br /> Conditions: A,P,QMW <br /> tae end of Pan[¢[Eor <br /> coda descnptiuns. <br /> - - - - - - - - - - - - - - - -- - - - - - - - - - - - - -L <br /> I understand that this permit does riot relieve me from liability for any darnages to any persons or property caused <br /> by the use of these pesticides. I waive any claims of liability for damage& against the County Department of <br /> 4. Agriculaire based on the issuance of this permit I further understand that this permit maybe revoked when <br /> pesticides are used in conflict with the manufacturer's 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 Cotrity Department of Agiculture of all areas treated or to be <br /> treated,storage facilities for pesticides or emptied containers and equipment used or to be toed in the treatrnent- <br /> [Fnrrn PR-ENF-125 (Rev. 0719 2)Pesticide Enforcement Brandi] <br /> Permit Applicant 7( r r i7 R I-- (7k C C Li Si�?te r <br /> L (Please Piurt) <br /> Title: Issue Date: <br /> Prase Fimt" <br /> Issuing officer Issue Date: <br /> L <br /> L <br />
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