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SU0007935_SSCRPT
Environmental Health - Public
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FOREST LAKE
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2600 - Land Use Program
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PA-0900192
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SU0007935_SSCRPT
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Entry Properties
Last modified
12/7/2020 4:28:35 PM
Creation date
9/4/2019 6:37:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0007935
PE
2622
FACILITY_NAME
PA-0900192
STREET_NUMBER
751
Direction
E
STREET_NAME
FOREST LAKE
STREET_TYPE
RD
City
ACAMPO
APN
00313001
ENTERED_DATE
10/5/2009 12:00:00 AM
SITE_LOCATION
751 E FOREST LAKE RD
RECEIVED_DATE
9/28/2009 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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Supplemental fields
FilePath
\MIGRATIONS\F\FOREST LAKE\751\SU0007935\SSC RPT.PDF
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EHD - Public
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`PItODUCTTON AGRICULTURE/POO RICO Bnalness Name PCU Ucenso Num her <br /> PEI STICIDE USE REPORT CRAIG CUSTOM AGRICULTURE 1 0380 00000 <br /> Rt# <br /> RN4lnntln�5c !Yr <br /> 5 0 2108 <br /> OPersfor I1YPormit Nunthcr Operntor OperAtor Addre93 Cl T,9�1 Code <br /> 3904457 ROUND VALLEY RANCHES 115 N SCHOOL„ST SUITE 5 NODI 95240- <br /> Site ID Number Total Plnnted Acres Unit C'oun,Iy Section Towatthip Rnn a BaAeline Meridian <br /> 22-1 _ 235.00 A 39.00 3.00 04N 06P M <br /> Commodity Code/Seed Originator Date Rnfered <br /> CRAPE,WINE 29143 0 Web Entered 10/21/2008 <br /> LFA Reggistration Numhcr Product and Mannfacturcr Tntal Fendnetl3AedlUnit Formulation <br /> 627196220-ZA-0 LORSBAN-4E - 117,50 GA EMULSIFIABLE CONCENTRATE <br /> Status Time of AApplieattoa Comlaked Acreage IUaitr'hreated Pre-han cq MY Entry WoffOry ApPliention Method <br /> Accepted 6:00 Ate' 10/16/2001 235.00 = A 5.00 1.00 W Ground <br /> EPA ReFigtratlon Number Preclnct and MAnofacturer Total ProduetUsedlUnil Formulation <br /> 293550192-AA-0 R-11 SPREADER-ACTIVATOR 29,38 GA SOL,/LIQ.(R11AD'Y-TO-USF) <br /> 5111tus Time ofA�pp Application Cum ictcd Acreage/l]nimTreated Pre-harvmt DayEntrq WetlDry Appliention Method <br /> Accepted 6:00 AR 10/16/200 235.00 A 5,00 1.00 w Ground <br /> • a <br /> P c nt . <br /> 3 <br /> Web PURs 1Zeport-Detail_ SAN JOAQUIN COUNTY Printed: 10/22/2008 <br /> Date P.1AITO Cd:From 10/20/2008TP 1011112008 rmport Type-Al l Page 22 of 28 <br /> t <br /> E <br />
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