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SU0006060_SSCRPT
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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PA-0600146
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SU0006060_SSCRPT
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Entry Properties
Last modified
11/16/2020 11:19:36 AM
Creation date
9/4/2019 6:10:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0006060
PE
2611
FACILITY_NAME
PA-0600146
STREET_NUMBER
0
STREET_NAME
MOUNTAIN HOUSE
City
MOUNTAIN HOUSE
ENTERED_DATE
5/23/2006 12:00:00 AM
SITE_LOCATION
MOUNTAIN HOUSE
RECEIVED_DATE
5/23/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\E\ESTES\PA-0600146\SU0006060\SSC RPT.PDF
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EHD - Public
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!G68 E. HAZELTON AVENUE <br /> t S i OCK uN , CA 95205 <br /> _ dOffice: (209)468-3300 Recorder (NOI) (209)468-3300 FAX: (209)468-3330 <br /> RESTRICTED MATERIALS PERMIT PERMIT/OPERATOR I.D. #z 39-97-3902007 <br /> County HQ District #: J <br /> ARNAUDO, B & B Expiration Date. 12/31/97 <br /> 16505 TRACY BLVD Issue Date: 01/07/97 <br /> TRACY,. CA 95376- <br /> FRANK ARNALDO Home: (209)835-2444 <br /> 16505 TRACY BLVD Shop. (209)635-0406 <br /> TRACY, CA 95310- Mobile- <br /> . (209)48I-502G <br /> FOR RESTRICTED MATERIALS PERMIT USE ONLY <br /> Permit Type: Poss. Only ; ; Seasonal ' X' Poss . & Use ' X ' Job <br /> Parmittee Type: Q.A. Cert Ag. PCO <br /> Private App ; X ; Non-Ag ; <br /> NO! required 24 hours prior to application. <br /> 1`iethod : hone IX ' box , X : ' ' r_ <br /> p , , , , person �C ,, modem , , , ax , X , <br /> Numb Pesticide Pest(s) Form Method(s) Applicator(s) <br /> ----- --------------- ------------- -------- ---------------- ----------------- <br /> 1051 SEVIN Larvae Liquid Air Ground PCO Grower <br /> 1061 FURADAN Nematode Granules Air Ground PCO Grower <br /> 1980 DIAZINON Larvae Liquid Air Ground NCO Grower <br /> 2000DICAMBA Weeds Liquid Air Ground PCO Grower <br /> 2.30i DI-SfSTON Aphid Liquid Air Ground PCO Grower <br /> 5660 NETHOiNYL Larvae Liquid Air Ground PCO Grower <br /> 394G METHYL PARATHIO Larvae Liquid Air Ground PCO Growar <br /> 4840 ALUMINUM PHOSPH Rodents Fumigant. Ground PCO Grower <br /> ''540 STRYCHNINE Gophers Gait Ground PCO Grower <br /> 60 ZINC PHOSPHIDE Rodents Bait Ground FCO Grower <br /> 860 MCPA, DIiETHfLA Weeds Liquid Air Ground PCO Grower <br /> 8041 2,4-DB Weeds Liquid Air. Grouod PCO Grower <br /> 9801 2,4-D AMINE Weeds Granules Ground PCO Grower, <br /> .1601i PARAQUAT Weeds Liquid Ground PCO Grower <br /> fix Pesticides continued on next page * <br /> Non-Ag Use: <br /> Conditions: PQ <br /> ------------------------------------------------------—-------------------- <br /> I understand that this permit does not relieve me from liability for any damage <br /> to persons or property caused by the use of these pesticides . I waive 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 /> conditions of this permit. I authorize inspection at all reasonable times and <br /> whenever an emergency exists, by the Department of Pesticide Regulation or the <br /> County Departmert of Agriculture of all areas treated or to be treate ge <br /> facilities for pesticides or emptied containers and equipment used be <br /> used in the treatment. [Form 33-125 v3. 33 (Rev.. 02/16/90) Pe - ' cid rfor meat <br /> ch j <br /> PritPermit <br /> omit Applicant: Sign. <br /> Ti t' Date: <br /> suing Officer. Date : <br />
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