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SU0008548 SSCRPT
Environmental Health - Public
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SU0008548 SSCRPT
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Last modified
5/7/2020 11:33:33 AM
Creation date
9/4/2019 6:38:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0008548
PE
2622
FACILITY_NAME
PA-1000279
STREET_NUMBER
18600
Direction
E
STREET_NAME
FRAZIER
STREET_TYPE
RD
City
LINDEN
Zip
95236
APN
06515002 04
ENTERED_DATE
12/20/2010 12:00:00 AM
SITE_LOCATION
18600 E FRAZIER RD
RECEIVED_DATE
12/17/2010 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\F\FRAZIER\18600\PA-1000279\SU0008548\SSC RPT.PDF
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EHD - Public
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Ile . SAN JOAQUIN COUN IY <br /> 1868 E- HAZELTON AVENUE 2006 <br /> ` STOCKTON, CA 95205- <br /> E-trail: Web:www.eo.san-joaquirL caudag o=- <br /> Office: (209)469.3300 Fast: Recorder(NOPs): (209)465.3300 <br /> RBSTRIMI)MATERIALS PERMIT <br /> F&F D ORCHARDS Permit Number: 39-06-3900137 <br />� 213 60 WALNUT DR <br /> County District I: D <br /> LINDEN, CA 95235- Expiration Date: December 31, 2006 <br /> Effective Date: January ip, 1W <br /> FRANK DE BENEDETTI Home Phone: (209)887-3317 <br /> l 21360 WALNUT DR Shop Phone: <br /> LINDEN, CA 95236- Mobile Phone: (209)484-7992 <br /> Fax: <br /> Permittee Type: Private Applicator NOI Method of Subu insi€on: <br /> Permit Type: Seasonal Phone: X Fax: K Boge X <br /> Possession: Possession&Use In Person: X Modem: X Web: <br /> NOI required 24 hours prior to application <br /> Conditions: PDQ See end of permit for <br /> code descriptions. <br /> II <br /> I understand that this permit does not relieve me from liability for any damages to any persons or property caused — —by the use of these pesticides.,I waive any claims of liability for damages agaimt the County Department of <br /> Agriculture based on the issuance of this permit. I further understand that this permit may be revoked when <br /> pesticides are used in conflict with the manufacbmw4s labeling or in violation of applicable laws,regulations and <br /> specific conditions of this permit. I authorize inspection at all reasonable times and whenever an emergency exists <br /> by the Department of Pesticide Regulation or the County Deportment of Agriculture of all areas treated or to be <br /> treated,storage facilities for pesticides or emptied containers and equipment used or to be used in the treatment <br /> [Form PR-ENF-125 (Rev. 4'7192)Pesticide Enforcement Branch] <br /> t Permit Applicant P.G d 19e 6 ,-,e- 1 a 7'-7,' Signed: P, <br /> (Please Print <br /> �. Title: issue Date: — `f <br /> F ase <br /> Issuing Officer Issue Date. '-0 — <br /> c <br />
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