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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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SAN JOAQUN C0UNrfY <br /> 1565 E. HAZELTON ANUgUF, <br /> STOCJON, CA 952€15- <br /> � F'-tYi&il: Eb:�vivw.ca,s�n jvaclisn.eg.us�a�,cvmns <br /> Fj Office: (209)468-3300 Fax: (809)468.3330 Recorder(N01,$); (349�d68.3300 <br /> RE.%'i' CTED MATE LS PIERNIff <br /> (' CIROLO,P &SON Perr�it3r�a�'�: 39-C�4-33 <br /> 4545 N JAtYX TONE RD Couigy DL9tict t C. <br /> STQCKTCN, CA 95215- F-Wkud", e_ December 31, 2 <br /> EfTective Date: januay -` , <br /> SMVE CFH iCIIICL Hayne Phone: (209)599-292, <br /> 20896 E RIVER RD . ShoV Phone: (209)1931-51.5' <br />! <br /> MON,, CA:5366- ON a Pt on ' (209)496-2314 <br /> t F e <br /> — L <br /> F (209).599-25(209).599-2508Pe d€tee Type, Pri-vate APPlivator N01 Mleffie of <br /> ~- <br /> permit'Y` PC, Seasonal Phone- X Pax X Pox. X <br /> ,-, Possesgicln: Possession&Use In Pe"ion: X modenr Web: x <br /> ICI reouirerl 24 how prior to applieati , <br /> fi <br /> Co nditiono: A,P,I W See end of pe malt fsa- <br /> cade descriptions. <br /> ' I i-mderstand that this penytitdoes not relieve me from liability RT arr�damages to ay pet-solo of�evertY caused — —�— - <br /> bythe use of these pesticides. I waive any cl=aims of liability for damages against the Cout ty Detpat:sl-fe it of <br /> P46culb e based on the issuance of this permit. I fut-dier understarid Leat this pennit:ixay be revoked .e i <br /> pegticides are used its e;ru'lict with:13e nifful acturer'a laws,refaulatic:ms a.d <br /> conditions of this pennit. I authoAze inspection at all reasonable times acid whenever an emerp-enry exists <br /> DeparU-nent of Pesticide Re&atioti or the Couiaty Depax ent of.griculL�°e of all areas treated or to be <br /> Astqrage facilities for pesticides or etWtied containers and equipment used or to to used,itn die treatmen- <br /> �`jro:fn*-MiF-I25 (Rev. Q?!Qd)Pesticide Enforcement$rMich <br /> ppyy f/� /�I <br /> ��t� �E�£t?1t: !�C J <br /> F', (PleasL Nina) <br /> ' g _ <br /> {�3 <br /> Lo * Office <br /> r =e Date: �� <br />
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