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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ELEVENTH
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1421
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1600 - Food Program
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PR0161425
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
11/19/2024 10:19:41 AM
Creation date
9/27/2023 4:05:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0161425
PE
1624
FACILITY_ID
FA0002565
FACILITY_NAME
ISLAND GOURMET
STREET_NUMBER
1421
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
1421 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\ymoreno
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EHD - Public
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Materials Information <br /> Advion WDG Insecticide(EPA#100-1501 A20382A) <br /> Target Pests Areas Applied Total Application Area Active Ingredient <br /> Ants Indoxacarb (20.0000%) <br /> Application Equipment Application Method Weather <br /> 50 Gallon Standard Skid Liquid Application <br /> Sprayer <br /> Undiluted Quantity Dilution Factor Finished Quantity <br /> 0.3300% <br /> Advion Ant Gel (EPA#100-1498) <br /> Target Pests Areas Applied Total Application Area Active Ingredient <br /> Ants, German Cockroach, Interior Indoxacarb(0.0500%) <br /> Oriental Cockroaches <br /> Application Equipment Application Method Weather <br /> Gel Bait Injector Spot Treatment <br /> Undiluted Quantity Dilution Factor Finished Quantity <br /> 0.0000% <br /> Archer IGR(EPA#100-1111) <br /> Target Pests Areas Applied Total Application Area Active Ingredient <br /> Field Cockroach, German Exterior Pyriproxyfen (1.3000%) <br /> Cockroach, Oriental <br /> Cockroaches <br /> Application Equipment Application Method Weather <br /> B &G 1 Gallon Hand Can Liquid Application <br /> Undiluted Quantity Dilution Factor Finished Quantity <br /> 1.0000% <br /> Neogen SureKill CT-511 (EPA#47000-73) <br /> Target Pests Areas Applied Total Application Area Active Ingredient <br /> German Cockroach, Interior Pyrethrins-0 .5% <br /> Oriental Cockroaches Piperonyl Butoxide- 1.0% <br /> Application Equipment Application Method Weather N-Octyl Bicycloheptene <br /> Dicarboximide- 1.0% <br /> Space Treatment (1.0000%) <br /> Undiluted Quantity Dilution Factor Finished Quantity <br /> 0.0000% <br /> Customer Authorization Signature: Date: <br /> Company License#OPR11081 Page 2 of 3 <br />
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