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SR0067469_SSCRPT
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4 (STATE ROUTE 4)
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27403
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2600 - Land Use Program
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SR0067469_SSCRPT
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Entry Properties
Last modified
11/20/2024 9:08:27 AM
Creation date
9/4/2019 6:46:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SR0067469
PE
2603
STREET_NUMBER
27403
Direction
E
STREET_NAME
STATE ROUTE 4
City
FARMINGTON
Zip
95230
APN
18731020
ENTERED_DATE
6/27/2013 12:00:00 AM
SITE_LOCATION
27403 E HWY 4
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\F\HWY 4\27403\(STAND ALONE) SUR SUB RPT\(STAND ALONE) SUR SUB RPT.PDF
Tags
EHD - Public
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.......... <br /> SAld JGAQUI1,1 COUNTY <br /> 2101 ELARHART- SUITE 100 <br /> ' STOCI TO , CA 95206- <br /> tT3eb:vrvn7.ca sau-j o agin.ca.ustagcomtn <br /> Office:(309)953-0000 Fffa: (?09)953-6021 Recorder(ITOI's):(509)953-6700 <br /> COPY ZD I l <br /> RESIRICIED MA 1ALSFERN-TTT <br /> ' MITRPTiYRANC:H Permit Number- 39-11-3903311 <br /> county District#: C". <br /> 17150 FR ON—1 9TIRRFT <br /> t T.IiVt"}FN CA ')5216 Effective <br /> Dote: December 31,2011 <br /> Effective Date: 33uuary 1-- 6j 01 Lb� <br /> ' TINT .STTNRTTRY Dome Phone: <br /> PC)ROY 15 Shop Phone: <br /> ' FARTtM%T( FONT CA 95210 Mobile Phone: <br /> Fax: <br /> PetTaittee Twe: Private.Apjilfeator NOI Method of Suhraission <br /> ' PenuitTime: genumal Phone: Y Fax: Y Box: Y <br /> Possession: Possession &Use La Person: Y Web:X <br /> ' NOI retmired 24 hours urxor to aoulioation. <br /> ?= di5 oas: A a,Q,trt £ See end of permit for <br /> code descriptien_s. <br /> --------------------------------------------------- <br /> ' iu_ids-standthlatthis peazmitdoes nctrelieve mefremliability for any damages toaslypes-salscu-pi-Te-tycaussed <br /> by the use of these pesticides. I waive any claims of liability for damages against the Caalty Departineot of <br /> Ag culture based m the is im-ice of this permit. I fuethef csrder�id th„t this pernut may be revcked when <br /> ' <br /> pesticides ere used iii conflict with the mairufsctLirer's labeling cr in violation of applicable laws,regulations clad <br /> specific ccmdii+ions of this peiYnit I autherii a iiispectim at all reasonable times and whenever m snerge7cy exists <br /> by the Departmeit of Ixesticide RegulaticT,a the Ccwity Depsr7iart of Agicuiture of all areas treated or to be <br /> trestad,storage facilities fcr pesticides a emptied ccmtairi s and equipment used or to be used in the treatment. <br /> I l ave ccarsidued alternatives andrnitigati,a raeasii pursuarl to Title i,California Cade of Regulaticais seaion 5426. <br /> Taking irto account ecmcamrc,swiror mental,social,and teciinolegical factcrs,I have odepted throe that are feasible <br /> and would s ostantially lessen eny si7,ificarl adverse hnuact ca-L fhe swir-cruilert. <br /> ' IFonm FR-M-I -125 (Rea. 111Co�I litide trfor aiiaent Bra iCh j �a <br /> PermitArmlicant �M ✓ 7 Sigaed: — <br /> ' (Rease Pin* <br /> Title— Issne.'Date:— O 9 l_ D <br /> / (14eafe Print) <br /> ' Issuit14 OffiireIssue Date: <br />
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