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SU0006098 SSCRPT
Environmental Health - Public
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SU0006098 SSCRPT
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Last modified
5/7/2020 11:32:07 AM
Creation date
9/5/2019 10:51:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0006098
PE
2622
FACILITY_NAME
PA-0600319
STREET_NUMBER
31103
Direction
E
STREET_NAME
GROOMS
STREET_TYPE
RD
City
OAKDALE
APN
20728003
ENTERED_DATE
6/27/2006 12:00:00 AM
SITE_LOCATION
31103 E GROOMS RD
RECEIVED_DATE
6/27/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\G\GROOMS\31103\PA-0600319\SU0006098\SSC RPT.PDF
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EHD - Public
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aAlti JOAQULN COLNIT TY <br /> 1868 E. HAZELTON AG iIE 2006 <br /> STOCLTON, CA 95205- <br /> E-mail: �eb:`�ii�W.c9.SflII-jC•FIc�ca.ii4ia�CUSilID <br /> Office: 17a9)46S-3300 Fax: (209)468-3330 Recc,7-de i27t1NX (309)468.3340 <br /> RESTRIMD MATE RLAL3 PEFJM <br /> SC <br /> '1111LTZ ER+IE pe .,llds�b�r: 39-sir-300310'4'; <br /> • Co"District#: C <br /> 31146 E L<�NE TREE R1? <br /> OAKDALE, CA 95361_ 1�bpffe; December 31, '`006 <br /> L F-Metive Date: 1-i`, <br /> L VERVE SCIIULTZ HommpPhone: (2091841-0516 <br /> 3114-0'E LONE TREE RD ShOp phme: <br /> OAKDALE, CA 95361- Moble Phoma (209016-?959 <br /> Far <br /> Petal Mee Type: prVate .4p%tit aor NC3a;�°--t1x--_-od c;f',3ehs—s mafu <br /> Permit Type: Seas©ntl Phone: Par :; Box: X <br /> Possession: possession&Use hi peesen: _ Mcjet�: Web-- <br /> L NOT required 24 hours pnio3 to ap9plicatt� <br /> Conditions: A.P,Q,BICE <br /> nn and of PnemiEar <br /> ,nada 3ussxiptions. . <br /> ` — _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ <br /> I m -aand that this permit does not relieve rrne frcsn liability for any damages to any pe a nns.Or yrope-ty caused <br /> leo tre use of these pesticides. !waive any clairns of liability for damages against she C'otmcy Depa ff-F1era of <br /> 6. Ageir-ulture based on the issuance of this persrvt ?f��ther und[c-sta<ui Lhat this pem:+'t•:ay be revoxed when <br /> pesticides are used in conflict with the rna'nefacturee's labeling or in violation of applicable lairs,regulations and <br /> specifie coed t ors of �iis per r it I authorize irspecti n at all reasonable times and wheriever an ernergency exists <br /> by the Department of Peaucide Regulation or the County Department of Agriculture of all areas treated or to be <br /> Treated,storage facilities for pesticides or emptied containers arnd equipment used or to be used in the treatment <br /> (,Form FR-1±NF-125 (Rev. 07192}Pesticide Enforcement Brach j <br /> g xrit App if t 1✓l�r' ��`7tf l Siped: l✓Ar <br /> (Pkatx Pili / <br /> Title: C7Ire I"- Issue Dote: �� /✓J(/ <br /> ,Please P=L) <br /> issuing Officer (2issue Date: <br /> V <br />
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