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SU0006099 SSCRPT
Environmental Health - Public
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SU0006099 SSCRPT
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Last modified
5/7/2020 11:32:07 AM
Creation date
9/4/2019 10:38:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0006099
PE
2622
FACILITY_NAME
PA-0600348
STREET_NUMBER
19801
Direction
S
STREET_NAME
BRENNAN
STREET_TYPE
AVE
City
ESCALON
APN
24704001 02
ENTERED_DATE
6/27/2006 12:00:00 AM
SITE_LOCATION
19801 S BRENNAN AVE
RECEIVED_DATE
6/27/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\B\BRENNAN\19801\PA-0600348\SU0006099\SSC RPT.PDF
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EHD - Public
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f. SAN JOAQUIN COUNT' <br /> 1868 E. HAZELTON AVENUE' <br /> STOCKTON, CA 95205, o�a3 <br /> Office: (209)4686;-3300 Recorder (NOI): (209)468-3300 2A-X: (209)468-3330 <br /> RESTRICTED MAVERIALS PERMIT Permit#: 39-03-3903049' <br /> F, County HQ District#: C <br /> CHINCHIOLO; .P SONS Expiration Date: 12/31/200:3 <br /> F4505 N ,TACK. TCDNE RD Effective Date <br /> STOCKTON, CA 95215- <br /> F. <br /> STEVE CHrNCHIOLO Home: (209)599--2927 <br /> 20896 E RIVER RD Shop: (209)931-5157 <br /> RIPON, . CA 9536 - Fax: (209)599-2505 <br /> _ Mobile: (209)481-39C►0 <br /> Fype Permit T Permittee T r=== =_=__=_=_-=___---__- <br /> ype Possession NOI Method of Submission <br /> Private APP CX3 Seasonal EX] Poss & Use [XJ Phone --- CX] ---Fa 1XI <br /> FQ A Cert C 3 Job C I Poss' Only C Boy; Eyj Modern CX7 <br /> Ag PCO. C I In Person CX7 <br /> Non-Ag C I NOI required 24 hours prior to application <br /> Numb Pes ticid(E5-' Pest(s) Form. Method(s) Applicator(s) - Y <br /> 1051 SEVIN LARVAE Liquid Air Ground PCC Grower -- <br /> 1360 CHLOROPICRIN NEMATODE Fumigant Ground PCO Grower <br /> 2591 THIODAN LARVAE Liquid Ground PCO Grower <br /> ;3141 GUTHIONMITES Liquid Air Ground PCO Grower <br /> 3590 LINDANE LARVAE Liquid Ground PCC} Grower <br /> F 3850 METHYL BROMIDE SOIL/STORED Fumigant Ground PCO mower <br /> 3940 METHYL FARATHIO LARVAE Liquid Air Ground PCO Grower <br /> 4840 ALUMINUM PHOSPH RODENTS Fumigant Ground PCO Grower <br /> 5540 STRYCHN3NE GOPHERS Bait Ground PCD Grower <br /> 6260 ZINC PHOSPHIDE RODENTS Bait Air Ground PCO Grower 4 <br /> ****** :PESTICIDES CONTINUED ON NEXT PAGE k•3K�*�� <br /> Non--Ag Use: <br /> Conditions: PQL7WZ <br /> I understand-that this permit does not relieve me from liability for any damage <br /> -==�-- <br /> to persons or property caused by the use of these pesticides. I „naive any <br />�, claim of liability for damages against the County Department of Agriculture <br />! ' based on the issuance of this permit. I further understand that this permit <br /> may be .revoked when Pesticides are used in conflict with the manufacturer's <br /> labeling or in violation of applicable laws, regulations and specific <br /> E r conditions of this permit. 'I authorize inspection at all reasonable times W-1d <br /> 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 <br /> facilities for pesticides or emptied containers and equipment used or to be used <br /> in the treatment. [Form PR-EN//F--125 (Rev. 037/92) Pesticide Enfo/rQegent Br <br /> Petmit ApplitJc':1�t- ,l t/P _ - t I �� Sign: <br /> Title: �2z _ Date: <br /> r <br /> f Issuing officer: Date: <br /> V� <br />
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