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SU0008815 SSCRPT
Environmental Health - Public
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SU0008815 SSCRPT
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Last modified
5/7/2020 11:33:41 AM
Creation date
9/4/2019 6:39:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0008815
PE
2622
FACILITY_NAME
PA-1100114
STREET_NUMBER
23557
Direction
S
STREET_NAME
FREDERICK
STREET_TYPE
AVE
City
RIPON
APN
22813022
ENTERED_DATE
7/11/2011 12:00:00 AM
SITE_LOCATION
23557 S FREDERICK AVE
RECEIVED_DATE
7/8/2011 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\F\FREDERICK\23557\PA-1100114\SU0008815\SSC RPT.PDF
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EHD - Public
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SAN JOAQUIN COUNTY <br /> F, 2101 E F.ARHART_ SUITE 100 <br /> STOCKTON, CA 95206- <br /> Web:wwa►.co.san joagrdrica_usiagcomm <br /> F1 Office: (209)953-6000 loam (309)953-6022 r Recorder{X01`5}: (1,09)953-6000 <br /> Fi <br /> 2012 <br /> F <br /> RF.STRTC.f.D MATFRTATS PFRMTT <br /> FRITT.T NTS, R AV Pe mifMitrnhpr• 39-i2-3901052 <br /> 9.3517 FRFTDRTCK RTTCountY District 4: R <br /> y <br /> RTPON CA 4M66- Expiration Date: December 31, 2012 <br /> F . <br /> Effective Date: , ¢ <br /> tz-al-og <br /> R AY.T RTTT_T RITIR Houle Phone: <br /> F21M FRFDRTCK RT) Shop Phare: <br /> RTPOW CA 95166- Mobile Phone: <br /> Fax: <br /> Permittee Tvpe: Private App icor NOI Medkod of Submissiew <br /> Permit Type: Reacr nal Phone: X Fax:X Bog: X <br /> Possession: possession &,Use In Person: X Web:X <br /> NOI required 24 Hours Drier to a olication_ <br /> QAL#383070 2010 <br /> 6 • Conditions: A,PAW See end of permit far <br /> code descriptions. <br /> I undav=d that this permit does not relieve me from liability for any damages to army peFSMS or property caused <br /> by the use of these pesticides. I w aive any claims of liability for damages against the County Department of <br /> F Agricult xe based on the issumce of this permit_ I further unde`amd.that flus pemut rnq be revoked where <br /> pesticides are used in conflict with the manufacturer's labeling or in violation of applicable laws,regulations and <br /> specific cmclitims of this pet-rnit I a ithorize inTecticm at all reasonable times and whenever an ernergeacy exist: <br /> by the Department of Pesticide Regulation or the County Department of Agriculture of all areas treated or to be <br /> treated,starage facilities for pesticides or emptied catknen and equipment used or to be used in the treatment <br /> I have considered altematives and maigaticrn measures pursuant to Title 3, California Goole of Regulations,section 6425. <br /> FTaking into acco n-,t econcrnic,environmental,social,and ted3nologicalfactors,I have adopted those that are feasible <br /> and would substantially lessen any significant adverse impact on the environment. <br /> (Form PR-ENF-125 (Rev. 11/05)Pesticide Enforce lent Branch 3 <br /> Permit Avpiicant u 6v I/ 4,vf5 Signed: <br /> {Please Print) <br /> i Title: f9 Issue Date: <br /> (Freae a.. Point. <br /> Issues OfficerIssue Irate: <br /> I ; <br />
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