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SU0009764 SSCRPT
Environmental Health - Public
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SU0009764 SSCRPT
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Last modified
5/7/2020 11:34:12 AM
Creation date
9/4/2019 5:28:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0009764
PE
2622
FACILITY_NAME
PA-1300100
STREET_NUMBER
6351
Direction
W
STREET_NAME
DELTA
STREET_TYPE
AVE
City
TRACY
Zip
95304-
APN
21310030
ENTERED_DATE
9/19/2013 12:00:00 AM
SITE_LOCATION
6351 W DELTA AVE
RECEIVED_DATE
9/19/2013 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\D\DELTA\6351\PA-1300100\SU0009764\SSCR .PDF
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EHD - Public
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• • JILL(C-11.25/R-11.20/fl-11.2511)-23) User:Haley Flying Service 8/17/20 1:37:23PM Version:7.7 <br /> STATE OF CALIFORNIA - ENVIRONMENTAL PROTECTION AGENCY <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> �.. PESTICIDE USE REPORT (33-025 Rev 3/90) PMIS 0033 <br /> Rec.#M12-APL-00824-1 <br /> ( ) Nursery <br /> County Section Township Range Base&Meridian Method Permittee/Customer Applicator Name&Address <br /> 39 14 02S OSE M A MIKE MAT TOS HFS Inc. <br /> Operator Identification Number Site Identification Number Planted Area P.O.BOX 1049 <br /> 39-12-3902112 9-1 40.00 ac TRACY,CA 95378-1049 <br /> Location Block IDMATTOS 9-1-1 ALF <br /> S DELTA&S OLD RIVER• 12 <br /> Date/Time Applied Area Treated Commodity or Site Treated Crop ID <br /> Proposed:08/17/12 1040 Actual <br /> Actual: 08/17/12 1100 40.00 ac ALFALFA 23001-00 <br /> Restrictedl Chemical Registration Number Total Formulated Rate Per Dilution <br /> Material I Number Product and Manufacturer From Label Product Used ac Volume <br /> N 2530 LOCK-ON 62719-79-AA 10.00 2.00 5.00 ARMYWORM <br /> DOW gal Vt Rai <br /> N 99006 NO FOAM B 1050775-50008-AA 0.25 0.0500 5.00 <br /> CMR gal Pt gal <br /> Days Reentry Days Preharvest Application Supervised By NW N NE <br /> 24 hr I 4 day Gary Del Carlo <br /> Environmental Changes/Comments <br /> W E <br /> Target Area <br /> Submitted By: Date Time PCA Name SW S SE <br /> Denis Della Nina 8/17/201: 01:37 PM RANDY MOHLER 2479 <br /> Received By: Box No. Date Time Ap roved <br /> Denied <br /> RECEIVED <br /> AUG 2 1 2012 <br /> AGR.COMM:STOCKTON <br />
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