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SU0006926 SSCRPT
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SU0006926 SSCRPT
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Last modified
5/7/2020 11:32:49 AM
Creation date
9/9/2019 9:07:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0006926
PE
2622
FACILITY_NAME
PA-0800027
STREET_NUMBER
11981
Direction
S
STREET_NAME
ROBERTS
STREET_TYPE
RD
City
STOCKTON
APN
19115003
ENTERED_DATE
1/25/2008 12:00:00 AM
SITE_LOCATION
11981 S ROBERTS RD
RECEIVED_DATE
1/25/2008 12:00:00 AM
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\R\ROBERTS\11981\PA-0800027\SU0006926\SSC RPT.PDF
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EHD - Public
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SAN JOAQUIN COUNT' <br /> I868 F} FLAZELTt N AVENUE <br /> 2005 <br /> STC}C fOl`+T. CA 95320-55- <br /> -mail: VTeb:w-.vw.co.san-j aaquin.ca.usla:comm <br /> t7ffice: (209�l6S•3300 Fax: (209)465.3330 Recorder(1,10i's): (209)465.3300 <br /> RESTRICTED CTED ATAT;"R.IAI.,,S PERTATIT <br /> GOLDEN R INC <br /> Permit Number: 39-06-39WIS? <br /> 12000 CROCKER RD County District# T <br /> SZ'()C 'I'C11 ON, C A 9 5 5- Espiragion Date: D-ce-jniber 311, 2006 <br /> �9� <br /> -. Effective Dare: ,3agil�s a, 1���� � <br /> V <br /> NLA.rN7N FOSTER Hone Rhone: (209)462-477-28 <br /> 12000 CROC'KER RD Shoff, Phone: (2G9 {2-3075 <br /> S` OCK_TON CA 95206- Mobille Phone.- (209) 992-25411.9 <br /> �. Fa-s= <br /> Permittee T' e: Private ;�nplieator N0I Method of Submission: <br /> r Permit Type. Seasonal Phone: X Fax: X Lox: <br /> Possession: Possession & Use In Person: X Modem: deb: Y <br /> NOI required 24 fours prior to application. <br /> Conditions: A.P, Q.W <br /> See end of permit for <br /> :ode durmptimz.. <br /> —————————————————————————————————— ——————— ————— <br /> I understand that thj s permit dcL-riot relieve rte from liability for any damages to any persons or properLy caused <br /> by the use of these pesticides. I waive any claim of liability for damages against the C�xmty Department of <br /> . tgriculture based on the issuance of this permit. I further u-nderseand 01iat thus pe;rnit rriav be revoked i3rhen <br /> pesticides are used in conflict with the manufacture-'s labeling rx in violation of applicable law,s,regulaiions and <br /> specific conditions of this perrnit. I authori=e inspection at all reasoriabl_e tunes and vaheneYer an Erner ,ertcv exists <br /> by the Departr,:s-it of Pesticide Regulatioei cc the County Deparu-nert of Agt•icuiture of all areas treated or to be <br /> treated,storage facilities for pesticides or emptied containers and equipment used or to be used in the t-eatment. <br /> [Fcrrr:i PR-E.. F-125 (Rev. 07/9.2)Pesticide ETIR:-cenent Branch; <br /> Pet�I t AF 1fCant i / (/ St-ped: <br /> ri#Iz �d�ly <�1 Issue D art:: <br /> Issue Date' l o <br />
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