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SU0007422 SSCRPT
Environmental Health - Public
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ESCALON BELLOTA
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2600 - Land Use Program
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SU0007422 SSCRPT
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Last modified
5/7/2020 11:33:03 AM
Creation date
9/4/2019 6:08:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0007422
PE
2622
FACILITY_NAME
PA-0800293
STREET_NUMBER
2250
Direction
S
STREET_NAME
ESCALON BELLOTA
STREET_TYPE
RD
City
FARMINGTON
APN
18718006
ENTERED_DATE
10/13/2008 12:00:00 AM
SITE_LOCATION
2250 S ESCALON BELLOTA RD
RECEIVED_DATE
10/10/2008 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\E\ESCALON BELLOTA\2250\PA-0800293\SU0007422\SSC RPT.PDF
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EHD - Public
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U 'M <br /> S.AN JOAQ UN COU <br /> 1868 E. MAMMON ANT-NT-JE <br /> STOCKTON, CA 95205- <br /> F1 <br /> OFECE: ('2109)469.3300 Fax: '210)46S.33"O 3 <br /> F4' <br /> OPERATOR IDENTMCATION NUMBER <br /> FIIOperator-Identification#: 39-07-39000VI) <br /> ANDERSON,WILLLAM <br /> FP (0) B Ox 121 Counqf D—stlict 4- t" <br /> FAILMINGTONI , CA 95230 Exiliration Date: December 31,1007 <br /> Effective Date: - _WvZ1 2, 7 <br /> ARM.1,Uk'.M A LIVEJ E M 0 NI Himnm-,Phone- (209)886-5483 <br /> F25523 GPIOVceS RTIII S1430P Phone: <br /> GD)N, CA 95230 Mobille Phone- <br /> F' <br /> Pis rtenw Ty e' Non—Cerfified <br /> F.- <br /> Fil <br /> FI understand that.this permit.does not relieve me.from liability for a.-w damages to any persons or proper**caLw,ed <br /> by the use of these pesticides. I waii-,-e my claims of liability for damages against.the County Department of! I <br /> Agriailftwe based on the issuarsce of this permit I further understand that this pcmlitmiTy be rmoked When <br /> Pesticides are used in conflict with the manufacurer's labeling or inviolution of applicable.laws,rtgalationsand <br /> Spec;I is conditions of this permit. I aLdhorize inspection at all reasonable times and whenever an emergency cuists <br /> by the DepaTtroent of Pesticide RegWation or the County Department of Of all areas treated or to be <br /> tre'ded,storage fay:i I iti es for pesticides or emptied containers and equipment,used or to be used in the tretment. <br /> I IJEfl'e considered alternatives and miti gati on measures pursuant to Ti t I e 3,California Code of Regul ati on,,;,section(5426, <br /> R T4d g into account economic,emiromnentol,social,and technological factors,I have adopted those that.are.feasible <br /> and mild substantially lessen arry siificant adverse impact on the ern irorrnemt, <br /> [Fonn pg-Elp_..125 (Rev. 11106) ticidt Enforce-one nt"Dr xqCh I <br /> (Fle-ave Print) <br /> FITitle: Isme Daft. —7 <br /> (Please <br /> T <br /> ISS MCC <br /> Fk <br />
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