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SU0007512 SSCRPT
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SU0007512 SSCRPT
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Last modified
5/7/2020 11:33:06 AM
Creation date
9/8/2019 12:37:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0007512
PE
2622
FACILITY_NAME
PA-0800362
STREET_NUMBER
3650
Direction
N
STREET_NAME
OVERHISER
STREET_TYPE
RD
City
STOCKTON
APN
08705416
ENTERED_DATE
12/16/2008 12:00:00 AM
SITE_LOCATION
3650 N OVERHISER RD
RECEIVED_DATE
12/12/2008 12:00:00 AM
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\O\OVERHISER\3650\PA-0800362\SU0007512\SSC RPT.PDF
Tags
EHD - Public
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LETTER OF AUTHORIZATION OEC 2 3 2006 <br /> To: San Joaquin County Agricultural Commissioner <br /> PO Box 1809 <br /> Stockton,L <br /> /CA 95201 <br /> G / <br /> From: •F- S Cq/In�I <br /> OPERATOR OF THE PROPERTY(PRINT N'A14EI <br /> C /I <br /> S�to A <br /> ADDRESS <br /> .Sto-l-t, _ L ry L I r%� a ?(3 �3 / 3� 7 <br /> CrrY•STATE•ZIP i PHONE <br /> �sdl� <br /> The authorized representative named below may represent me in obtaining a restricted material <br /> permit or operator identification number for use in San Joaquin County. I understand that this <br /> authorization does not relieve me of liability for violations of pesticide laws or regulations on my <br /> property. This authorization shall remain in effect until I revoke it in writing to the Agricultural <br /> Commissioner. <br /> Signature: OrGts eJ F-// -/ L//t I/f t� s�j Date: /,) (p Q(o <br /> OPERATOR OF THE PROPERTY <br /> Title: _( )L <br /> Authorized Representative: 1\ 1 G A R c\ q t,,,4 I An u <br /> PRINT NAME <br /> I am the property operator's: [A employee; [ ] relative; [ ] Employee PCA; [ ] other <br /> SPECIFY <br /> I hereby certify that the information above is correct to the best of my knowledge. I also <br /> understand that, ' Ie event of violation of pesticide laws or regulations, I could be held Gable <br /> either sep ely o e r t property operator. c3] 3 S-2 V d f Fr <br /> Si ure: Phont db � 6 j• 1,e C <br /> AUTHORIZED REPRESENTATIVE <br /> 3CCR 6420(a): "Permits for agricultural use of a restricted material shall be issued in the name <br /> of the operator of the property to be treated The permittee or when allowed by the <br /> commissioner(emphasis added), the permittee's authorized representative or licensed pest <br /> control adviser, shall sign the permit. The authorized representative or licensed pest control <br /> adviser shall provide the commissioner with written documentation from the permittee to act on <br /> his/her behalf. " <br /> 3CCR 6000: "Operator of the property" means a person who owns the property and for is <br /> legally entitled to possess or use the property through terms of a lease, rental contract, trust, or <br /> other management arrangement. <br />
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