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SU0004813 SSCRPT
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SU0004813 SSCRPT
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Entry Properties
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
Scanner
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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L 1858 E. I A='-rO'N A`•:P—NUE <br /> STOCI'IDN'. CA }$2lt - <br /> �'-ni3i1; d�ill:ra•.*la:�?.53t^Jo2c[itiil.i3u:/;:ycuS.:t <br /> �' J!i„ : l2oa`.s653'itt C: Fast. i89t.triS•3?37 -:ce •tln•g1�G;';,;: (=09 i 69-3::00 <br /> USTR.ICTED MATERLAIJ.S PERM T <br /> LORI FAMINZ G INC Permit Number: 39-06-3904309 <br /> 11292 N:�I.PIl`IE RD oui3 :33isz ict . <br /> 5TU!« i.]i':. :A 95313- Expiration:ate: DeCe-m 6cr 31. 21)0 i <br /> £Tiycliec Date: .iunuary ?. I'?90 <br /> RAY AL'A:`dSli`dO Ii'Gitly i'buuc: (�'• <br /> 1129=1�+1 ALPEv� Shoplxssiitiu: (209)948-11.2—, <br /> L ST c .� e� Nfobilu Menti: <br /> ai.�vliTi..N. ESA 9,�..i_- <br /> ?'i3,k: <br /> Li'�rliut v 1Y"�C �'c''i:ii4 r�t)J.a,ti ;'{:.4 ."iTiS£i'.:.iL-"t� iik'��•WlizEi+teus_ <br /> Petmit'I�Fpt: Soasomd Aloe$: ?C 'Fax: Box. .N <br /> t 3`ii'pa- son: X Modern: <br /> Possession: Possession .rill_4 <br /> NOI ntquired 24 hours prior to aDvIlcatiu:J. <br /> See end of peirnit ty: <br /> CutidiSttiw: �. .Q, ,- Cade dazMptionj <br /> index at d gat._his pt rrat does not relieve me fnan liability t••�•any damages to aiiy pr irs 'P." I s-- aced <br /> by the use of these pesticides. I waive arty claims of liability for damaf,against the Ccamef 17eparunait of <br /> A4•io—,Iture based•si the iwimice of this pewit. i fur ter understai:d&iat:Tris peniiit iruty be re-ckei what <br /> vestii-id a are t,--erl in centlict with the maiufatti res labeling m in violation of apolio-ble laws,re:4watiraia and <br /> :c41F:r..�r�:diticais of J;.��pa_gnit I authcrix inspection at all r.���" 'i;I.�iirnzs a[ii whm h«-a::una•;� cJ :i•�•� <br /> b.v the Department of Pesticide R egulatim er the r`oi:tit;+ Depaitment of Ap ictdtix^of all arras t.—eated or to b- <br /> ` t catr.1 sty e facilities for pesti ides:s•oargtied citta irs and equipment used cr to be used iii the treatlnelt. <br /> Rov. }7/4gfPestiadeFniercer itliratcf <br /> l' 1-031 —AfZwlllOG, <br /> P:',tnitr'1ppicaut (3Y% kA`(µiOVV)p 4Q"SI Pte, Sign,.: <br /> (Flee Pnnt`. <br /> v <br /> DSc: J?AKX4+ IIMA4A(-c f` Iasue.Date: O( / oCo /0 d? <br /> - eFr p <br /> 72� -C jSSIiC D7.it: 01 oO <br />
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