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SU0005025 SSCRPT
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SU0005025 SSCRPT
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Last modified
5/7/2020 11:31:25 AM
Creation date
9/6/2019 11:03:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0005025
PE
2622
FACILITY_NAME
PA-0500240
STREET_NUMBER
30520
Direction
E
STREET_NAME
LONE TREE
STREET_TYPE
RD
City
OAKDALE
APN
22915001, 03
ENTERED_DATE
5/5/2005 12:00:00 AM
SITE_LOCATION
30520 E LONE TREE RD
RECEIVED_DATE
5/3/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\L\LONE TREE\30520\PA-0500240\SU0005025\SSC RPT.PDF
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EHD - Public
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SAN JOAQUIN COUNTY <br /> 1868 E. HAZELTON AVENUE �/1.. _ <br /> STOCKTON, CA 95205 �`'� <br /> Office„ (209)465-3300 Recorder (NOI ) : (209)468-3300 (209)466-3330 <br /> ------------------------------------------------------------------------------- <br /> RESTRICTED MATERIALS PERMIT Permit#: 39-00-3903214 <br /> County HO District#: C <br /> SCHULTZ , VERNE Expiration Date: 12/31/2000 <br /> 31146 E LONE TREE RD Effective Date <br /> 2 - 0 O <br /> OAKDALE, CA 9536.1- 2 2 <br /> VERNE SCHULTZ Home: (209)847-0516 <br /> 31146 E LONE TREE RD Shop: (209)847-0516 <br /> _ OAKDALE, CA 95361- Fax: <br /> Mobile: ( } - <br /> ------------------------------------------------------------------------------- <br /> Permittee Type Permit Type Possession NOI Method of Submission <br /> - -------------- ------------ -------------- --------------------------- <br /> Private App [X] Seasonal [X] Foss &. Use [X] Phone [X] Fax CX] <br /> 0 A Cert [ ] Job [ ] P055 Only C ] Box [X] Modem f_ ] <br /> Ag PCO [ ] In Person [X] <br /> Non-Ag C ] NOT required 24 hours prior to application <br /> ------------------------------------------------------------------------------- <br /> ------------------------------------------------------------------------------- <br /> Numb Pesticide Pest(s) Form. Method(s) Applicator(s) <br /> ----- --------------- ------------ -------- ---------------- ------------------ <br /> 1051 SEVIN LARVAE Liquid Air Ground FCO Grower <br /> 1061 FURADAN NEMATODE Granules Air Ground PCD Grower <br /> ► 3940 METHYL PARATHIO LARVAE Liquid Air Ground PCO Grower <br /> 4491 ORDRAM WEEDS Granules Air Ground PCO Grower <br /> 4840 ALUMINUM PHOSPH RODENTS Fumigant Ground FCO Grower <br /> 5030 PROPANIL WEEDS Liquid Air Ground FCO Grower <br /> 7860 MCPA, DIMETHYLA WEEDS Liquid Air Ground FCO Grower <br /> 9801 2,4-D AMINE WEEDS Liquid Air Ground PCO Grower <br /> 16011 PARAQUAT WEEDS Liquid Air Ground PCO Grower <br /> 19330 THIOBENCARB WEEDS Granules Air Ground PGO Grower <br /> ***4#X PESTICIDES CONTINUED ON NEXT PAGE k #Ir <br /> Non--Ag Use: <br /> ,. Conditions: POV <br /> I understand that this permit does not relieve me from liability for any damage <br /> ` to persons or property caused by 'the use of these pesticides. I waive any <br /> claim of liability for damages against the County Department of Agriculture <br /> based on the issuance of this permit. I further understand that this permit <br /> i may be revoked when pesticides are used in conflict with the manufacturer' s <br /> labeling or in violation of applicable laws, regulations and specific <br /> conditions of this permit. I authorize inspection at all reasonable times and <br /> whenever an emergency exists, by the Department of Pesticide Regulation or the <br /> County Department of Agriculture of all areas treated or to be treated , storage <br /> facilities for pesticides or emptied containers and equipment used or to be us c <br /> in the treatment. [Form PR-ENF-125 (Rev. 07/92) Pesticide Enforcement Br n <br /> Permit <br /> An- ; cart- �G/e G L-1 = Sign: r ��-%: <br /> r. -- <br /> Title: ('i2+heti Date: -7. 2 -00 _ <br /> Issuing Officer: v^ - l .'1 ✓' Date: <br /> V <br /> r <br />
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