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SU0003975 SSCRPT
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SU0003975 SSCRPT
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Entry Properties
Last modified
5/7/2020 11:30:27 AM
Creation date
9/9/2019 10:40:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0003975
PE
2622
FACILITY_NAME
PA-0200194
STREET_NUMBER
11665
Direction
E
STREET_NAME
TOKAY COLONY
STREET_TYPE
RD
City
LODI
ENTERED_DATE
5/11/2004 12:00:00 AM
SITE_LOCATION
11665 E TOKAY COLONY RD
RECEIVED_DATE
5/16/2002 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\TOKAY COLONY\11665\PA-0200194\SU0003975\SSC RPT.PDF
Tags
EHD - Public
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' - 2002 <br /> SAN JOAQUIN COUI,ITY <br /> 1868 E . HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Web UPL :www. co . san-joaquin . ca . us/agcomm <br /> E-Mail : <br /> Office : ( 209 ) 468-3300 Recorder (NOI ) : ( 209 ) 468-3300 FAX : ( 209 ) 463-3330 <br /> -------------------------------- <br /> RESTRICTED MATERIALS PERMIT PERMIT # : 39-02-3900087 <br /> County HQ District # : H <br /> CORRADI , MICHAEL Expiration Date : 12/31./2002 <br /> 3846 BURGE RD Effective Date . ; Q <br /> STOCKTON, CA 95215- <br /> 0/flo11-2 <br /> MICHAEL CORRADI Home : ( 209 ) 931-0140 <br /> 3846 BURGE RD Shop : ( ) - <br /> STOCKTON, CA 95215- Fax: <br /> Mobile : ( ) 481-0516 <br /> Permittee Type Permit Type Possession NOI Method of Submission <br /> -------------- ------------ -------------- -------------------------- <br /> Private App I I Seasonal 1XI Poss F Use 1XI Phone 1`f! Fax 1XI <br /> Q A Cert 1XI Job I I Poss Only I I Box 1XI Modem 1XI <br /> Ag PCO I In Person 1XI Web 1XI <br /> Non-Ag I I NOS required 24 hours prior to application <br /> Non-Ag Use : None <br /> Conditions : PQWZ QAC# 15655 D <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 /> 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 authorise 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 used <br /> in the treatment . [Form PR-ENF-125 (Rev. 07/92 ) Pesticide Enforcement Branch] <br /> Permit Applicant : Sign : � 1/��'-� <br /> Title , j Issue Date : /0ho 7— <br /> Issuing <br /> —Issuing Officer : 86�Issue Date : <br />
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