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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0535508
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
10/14/2021 11:37:35 AM
Creation date
4/7/2021 8:05:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0535508
PE
1632
FACILITY_ID
FA0020478
FACILITY_NAME
SEBASTIAN QUESTA ELEMENTARY SCHOOL
STREET_NUMBER
685
Direction
N
STREET_NAME
MONTEBELLO
STREET_TYPE
ST
City
MOUNTAIN HOUSE
Zip
95391
APN
25650003
CURRENT_STATUS
01
SITE_LOCATION
685 N MONTEBELLO ST
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\jcastaneda
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EHD - Public
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LUSD/QUESTA ELEMENTARY Orkin,664-LEVERMORE COMMERCIAL, Invoice/Service Ticket 41:209286191 <br /> 685 N MONTEBELLO ST CA Account# 27815291 <br /> r TRACY,CA 95391-1241 3095 INDEPENDENCE DR Data of Service: 04/07/2021 <br /> (209)836-7230 Home STE C Time In: 04/07/2021 01:21 PM <br /> LNERMORE,CA 94551-7627 Time Out. 04/07/2021 02:55 PM <br /> PEST CONTROL DOWN TO A SCIENCE" (ase)580-1613 <br /> License It BR 5235 <br /> Product Application Details(Consumer post application precautionary statements on back) <br /> Active Ingredient ApP�te hod EPp EE tdR Target Patti bgpa4g0 <br /> Product SELONTRA RODENT BAIT 8 GRAM(S) Cholecalciferol 0.075% Bait Placement Bait Station House Mouse Building Perimeter <br /> Fgarawal Pouch EPA#: 7969-382 (rodent Control) <br /> App Rate: Mice-1-2 pouches per placement at 8- LOT#: <br /> 12 it intervals <br /> Product Used <br /> -Gain= <br /> Zone Nama Numbs Description C n= Product Name Ap Ip ied <br /> ezterior(Main Building) 1 Inspection SELONTRA RODENT BAIT 8GRAM(S) <br /> Station/Room Summary <br /> Name Scheduled Impacted With Acrvn Added Replaced Skip end Removed EENT <br /> Area 1 1 0 0 0 0 0 1 <br /> Zone Summary <br /> tZone Name Commerda New Scheduled Inspected With Activin No Acdvhy <br /> or(Main Building) 1 1 0 1 <br /> Customer Signature: Signature Not Entered CUSTOMER NAME:JENNIFER. <br /> CUSTOMER EMAIL:jcorliss@lammersvilleusd.net <br /> If you experience pest issues between scheduled visits,we will come back and address the 'This work has been performed to my satisfaction. <br /> problem at no additional charge. <br /> Remh To: Orkin,664-LIVERMORE COMMERCIAL,CA <br /> P O BOX 7161 <br /> Pasadena,CA 91109-7161 <br /> Printed 0410712021 2455 PM National Poison Control Center:1-800-222-1222 Page;2O 2 <br /> For additional Information,a copy of the Label andlar MSDS may <br /> CO-Commercial applicators are licensed by the Colorado Department of Agriculture be requested from your local branch or from http:llwww,orkin.com. <br /> AZ-Warning-Pesticides can be harmful.Keep children and pets may from pesticide applications until dry, Item#SVPC1026IOS rev.05.13 <br /> dissipated,or aerated.For more Information,contact Orion Pest Control-C40298CD at 1-000-346-7546 <br />
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