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SU0007492 SSCRPT
Environmental Health - Public
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SU0007492 SSCRPT
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Last modified
5/7/2020 11:33:06 AM
Creation date
9/5/2019 10:58:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0007492
PE
2622
FACILITY_NAME
PA-0800354
STREET_NUMBER
10940
Direction
E
STREET_NAME
HARNEY
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06318002
ENTERED_DATE
12/1/2008 12:00:00 AM
SITE_LOCATION
10940 E HARNEY LN
RECEIVED_DATE
11/26/2008 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HARNEY\10940\PA-0800354\SU0007492\SSC RPT.PDF
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EHD - Public
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SAN JOAQUIN COUNTY e07 <br /> 1868 E. HAZELTONL AVENUE <br /> STOCK-'TON, CA 95205- <br /> E-lnai Web:w-,vvv.co.San-j o aquin.ca.uslagcomm <br /> Office: (209)368-3300 Fax: (209)468.3330 Recordei (NOI's):(209)468.3300 <br /> RESTRICTED MA TEP,Lkl S PERMIT <br /> ME1TLER& SON Permit Number: .319-07-39-04362 <br /> 9084 E FLARNEY LN Comm District#: E <br /> LOM, CA 95240- Expiration Date: December 31, 2007 <br /> E-,-'ecti a Date. January 1,-�9/ 3 ♦__ <br /> GT,ORGTE MET LER Home Phone' (209)0'68-0996 <br /> 9084 E HA✓R TEY IN Step Phone: <br /> LORI, CA 95240- Mobile Phone: (209) 609-0545 <br /> Pwx: <br /> Petinittee ' -pe: Priv ate Applicator N01 Methal of Suh s€on: <br /> PC,-1n Type: Se-.,L.30P..I Phone: X Pax: b Pox: h <br /> Possession: Possession & Use In Person: X Fsodem: Web. <br /> NON requirled 24 Fours prior-to zoplicatton. <br /> Conditions: A,P,U,GV4P-L3 See end of permit ftr <br /> code desetipt ous. <br /> ----------------------------------------------- <br /> I --------------------------------------------- <br /> I understand that this permit does not relieve tree froth liability for any damages to any persons or property caused <br /> by the use of these pesticides. !waive any claims of liability for damages against the County Depatfisncalt of <br /> Agriculture based on the issuance of tris permit. I further uriders and that this permit may be revoked when <br /> pesticides are used in conflict with the manufacturer's labeling or in.violation of applicable lags,regulations-and <br /> specific conditions of this permit I authorize inspection at all m—asorLable times and whenever-an emerge_c;y exists <br /> by the Department of Pesticide Regulation or the County Department of Agriculture of all areas treated or to be <br /> treated,storage facilities for pesticides or emptied containers and equipmet-it used or to be used in tl-ie treatrnent- <br /> rLFot-m PRI-E2iF-125 (Rc-r. 07M)Pesticide Enforeenent Branch I <br /> r <br /> Pet-nit ApptiCT{�IIt `f' G�r✓�� - Simed: <br /> ,please Printf <br /> Title- ��' y '6-7�-- Issue Date: l — ( J <br /> ls3tfiti1 offucer: L/ stsue Dar 1-2- of_GC`J <br />
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