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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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e • JILL(C-11.17/R-11.17/H-11.16/D-2.3) User Riley Flying Service 32120- 1:56:44PM Version:7.7 <br /> STATE OF CALIFORNIA - ENVIRONMENTAL PROTECTION AGENCY <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> `. PESTICIDE USE REPORT (33-025 Rev 3/90)PNHS 0033 <br /> Rec.#M12-APL-00133-4 <br /> ( ) Nursery <br /> County Section I Township Range Ba.se&Meridianj Method Permittee/Customer Applicator Name&Address <br /> 39 1 14 02S 05E M I A MIKE MATTOS 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:03/07/12 0745 Actual <br /> Actual: 03/08/12 1000 40.00 ac ALFALFA 23001-00 <br /> Restricted Chemical Registration Number Total Formulated Rate Per Dilution <br /> Material Number Product and Manufacturer From Label Product Used ac Volume <br /> N 99006 NO FOAM B 1050775-50008-AA 0.50 0.1000 10.00 <br /> CMR gal Pt gal <br /> N 99900 WARRIOR n wrrH ZEON TECH 00100.01295-AA-00000 0.60 1.92 10.00 Alfalfa weevil <br /> Syngcnta Crop Protection Inc. gal 0z gal <br /> Days Reentry Days Pteharvest Application Supervised By NW N NE <br /> 24 hr 7 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 3/21/201: 01:56 PM RANDY MOHLER 2479 <br /> Received By: Box No. Date Time A proved <br /> Denied <br /> 11,1 J ,-• ; <br />
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