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SU0004813 SSCRPT
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SU0004813 SSCRPT
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Last modified
5/7/2020 11:31:14 AM
Creation date
9/9/2019 11:00:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0004813
PE
2622
FACILITY_NAME
PA-0500017
STREET_NUMBER
715
Direction
S
STREET_NAME
WAGNER
STREET_TYPE
RD
City
STOCKTON
APN
15907016
ENTERED_DATE
2/8/2005 12:00:00 AM
SITE_LOCATION
715 S WAGNER RD
RECEIVED_DATE
2/1/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\W\WAGNER\715\PA-0500017\SU0004813\SSC RPT.PDF
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EHD - Public
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Permitee:COLOMBINY FARMS ` `� Permit Number: 39-06-3900084 <br /> ` Deerirtlon of Conditions on this Pernint <br /> Condition ID Description <br /> 1A Pertnit Cond.Table of Contents <br /> L <br /> A-PERP CONI=70113-TABLE OF COITEATi'*3 <br /> WORKERS SAFETY SUMS ATTACI-MML <br /> [ ]A-1 through A-17 Generallnformatlon <br /> V <br /> PERMIT COND=. N3 A4TAr:�D <br /> [X] P-rJeneral <br /> Q-Dicarnba&Phenorf Herbicides-Central Ualley3Hz:ardous Area <br /> R- Dicamba 8a Phenoxys-Special Hazardous Area <br /> ` ( ] 3- Metam Sodium&Metam Potassium <br /> [ ] T- Aldicarb(Temi ) <br /> [ ] U- Endosulfan(Thiodan) <br /> L ( ] V- Rice Pesticides Program <br /> { ]-Y,R6linate(CTdrs?i}+Norl.er Safety CA; <br /> ( ]-A=chrnens 1-10: Molinae (;,i?,Miobencarb(2,6,7), <br /> Methylparathion(3,9),Seepage Control(5). <br /> L Propanil 1107 and Malathinn(wolivitaty:4 8). <br /> �'d-Mettryl Bromide <br /> [ ]-Soil within g'eeni"!ousel <br /> Commodity <br /> ( ]-Soil injection <br /> [ ]-Tamed potting soil <br /> , , Single tree site <br /> ` ( ]X-Furadanchemigetion of gapes <br /> [ ]Y- 1,3-Dichloropropene <br /> ( ]Z-Other <br /> r <br /> PESTICIDE SALES: GROUNDVIATEP.PROr cMON <br /> r <br /> >94-The material I am purchasing will not be used in a Pesticide hlana6ernent?.,one(as described in 3ecti ori 6802, <br /> Title 3,California Code of Regulations)for agricultural,outdoor institutional or outdoor industrial use. <br /> [ ]The material I am purchasing will be used in a Pesticide Management Zone(as described in Section 6802,Title 3, <br /> .. California Code of Regulations)for ag:cultural,outdoor institutional or outdoor industrial use and a copy of my <br /> restricted materials permit is attached <br /> ` Material purchased: [ ] AtnL.ir-e [ ] Simazine ( ] Bavmacil <br /> ( ] Diu-on { ] Prometon ( ] Bentszon <br /> I certify under penalty of penury that he foregoing statement is true,and that I will not apply any material listed in <br /> bEP Section 6800(x)in any Pesticide Manag=nent Zone for agriculture,outdoor institutional or outdoor industrial uses <br /> except in accordance with a permit issued by the county agricultural commissioner or the director in a county in <br /> which there is no commissioner. <br /> D aft <br /> -- ------ <br />
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