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SR0085013_SSCRPT
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SR0085013_SSCRPT
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Last modified
4/20/2022 12:23:06 PM
Creation date
4/20/2022 12:02:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SR0085013
PE
2603
FACILITY_NAME
15780 N CLEMENTS RD
STREET_NUMBER
15780
Direction
N
STREET_NAME
CLEMENTS
STREET_TYPE
RD
City
LODI
Zip
95240
APN
05319001
ENTERED_DATE
3/16/2022 12:00:00 AM
SITE_LOCATION
15780 N CLEMENTS RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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Tags
EHD - Public
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Au <br />SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br />"!!Y. <br />`*. co <br />%2101 E EARHART AVE, SUITE 100 <br />STOCKTON, CA 95206 <br />Office: (209) 953-6000 <br />Email: stocktonag2@sjgov.org <br />RESTRICTED MATERIALS PERMIT: 39-20-3904772 <br />Operator:MONDO, GENE <br />8300 MONDO LN <br />OAKDALE, CA 95361 <br />Agent:MIKE MONDO <br />Certified Applicator: MONDO, MICHAEL <br />8300 MONDO LN <br />OAKDALE, CA 95361 <br />Type of Use:Agricultural Use <br />Pesticide Possession: possession and Use <br />Permit Duration: Multi -Year <br />Permit Conditions:Appendix G, Q, P <br />Regulatory Notes: <br />Area to be treated- 80 acres <br />Max amount of Kasumin used- 5,120 Ounces <br />Dealer- Mid Valley Agricultural services <br />Fax: (209) 953-6022 <br />Web: www.co.san-joaquin.ca.us/agcomm <br /># 3904772 -2020 -Version: 2 <br />County District #:E <br />Issued on:3/11/2020 <br />Valid as of:3/11/2020 <br />Expires on: 12/31/2022 <br />Primary Phone: - <br />Alternate Phone: <br />Mobile Phone: <br />Fax: <br />Phone: <br />License #:PA5007070 <br />Expiration: 12/31/2022 <br />Notices Of Intent required 24 hours prior <br />to application of pesticide containing <br />restricted materials <br />See condition detail for <br />code descriptions. <br />understand that this permit does not relieve me from liability for any damages to any persons or property caused by the <br />use of these pesticides. I waive any claims of liability for damages against the County Department of Agriculture based on <br />the issuance of this permit. I further understand that this permit may be revoked when pesticides are used in conflict with <br />the manufacturer's labeling or in violation of applicable laws, regulations, and specific conditions of this permit. I authorize <br />inspection at all reasonable times and 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 facilities for pesticides or emptied <br />containers and equipment used or to be used in the treatment. I have considered alternative and mitigation measures <br />pursuant to Title 3, California Code of Regulations, section 6426. Taking into account economic, environmental, social, <br />and technological factors, I have adopted those that are feasible and would substantially lessen any significant adverse <br />impact on the environment. <br />[Form PR-ENFA25 (Rev 11/06) Pesticide Enforcement Branch] <br />Applicant: <br />Applicant <br />Issuing <br />Page 1 <br />3-11-102.0 <br />I I I I ZoLo <br />
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