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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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n - I I I <br /> STATE OF CALIFORNIA <br /> r EPARTMENT OF PESTICIDE REGULATION PESTICIDE USE REPORT <br /> [] Nursery <br /> County Seaton Township Range B&M App Method Permittee 1 Property Operator Applicator Name and Address <br /> 39(San Air <br /> Joaquin) 23 23 02 ❑ 07 : ,� S M Other <br /> Ground RAY BULTHUIS <br /> Operator tD I Permit No. Site Identification Number Total Planted Acres GROWER <br /> 039-09-3901052 1-1 B 44 <br /> Location <br /> Block iD <br /> W/S FREDICK NIW RIPON RD <br /> Date/Time Applied. Total Acres 1 Units Treated Commodity/Site TreatedLl <br /> 01/20/2009 40 ALMONDS <br /> �Che -ManufaGturer 1 Name of Product Applied EPA 1 Calif.Registration#From Label Tatar Product Used Rale Dilution <br /> ALBAUGH42750-00168-AA-00000 [ ❑400❑.00❑ ❑ 9 real Lbs 1 100 <br /> BASIC COPPER 50W HB LB OZ PT QT GA Treated Ac Gallons ` <br /> MAKHTESHIM-ALAN 120.00 3.00 Pts 1 100 <br /> DIAZINON AG 500 66222-00009-ZA-00000 0 El ® 0 Treated Ac Gallons <br /> IAP 160.00 4.00 Gal 1 100 <br /> IAP ORGANIC 440 SPRAY OIL* 71058-6 ❑ ❑ 11 GA <br /> ❑ X Treated Ac Gallons <br /> { LB OZ PT QT GA <br /> J <br /> } 1 <br /> F <br /> Fj <br /> F1 <br /> Ir, ECEIV <br /> MAR 4 2009 D. <br /> F1 AGR, COMM. SIMMS <br /> Fi <br /> Days Reentry 77��= <br /> sed lay <br /> 7 Days <br /> — CDMiS AT0264 <br /> Field: 1052-1-1 Rec#75224 <br /> SuBmlt to AGRICULTURAL COMMISSIONER within 7 days of appllcatlon- <br /> Copyright 01984-2009,CDMS Inc. Page 1 03/04/2009 <br />
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