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SU0003928 SSCRPT
Environmental Health - Public
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SU0003928 SSCRPT
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Entry Properties
Last modified
5/7/2020 11:30:21 AM
Creation date
9/5/2019 11:00:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0003928
PE
2622
FACILITY_NAME
PA-0200291
STREET_NUMBER
20763
Direction
E
STREET_NAME
HARNEY
STREET_TYPE
LN
City
LODI
APN
05318013
ENTERED_DATE
5/11/2004 12:00:00 AM
SITE_LOCATION
20763 E HARNEY LN
RECEIVED_DATE
7/11/2002 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HARNEY\20763\PA-0200291\SU0003928\SSC RPT.PDF
Tags
EHD - Public
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SAN JOAQUIN COUNTY <br /> 1868 E . HAZELTON AVENUE <br /> STOCKTON. CA 95205 <br /> Web URL www. co . san-joaquin . ca . us/agc E-mail <br /> Office ( 209 ) 468-3300 Recorder (NOI ) ( 209 ) 468-3300 FAX ( 209 ) 468-3330 <br /> .� RESTRICTED MATERIALS PERMIT PERMIT # : 39-04-3904647 <br /> County HQ District # : E <br /> SIERRA VISTA VINEYARD Expiration Date : 12/31/2004 <br /> 16930 E COMSTOCK RD Effective Date <br /> LINDEN, CA 95236 9/tea, <br /> ROBERT J INDELICATO Home : ( 209 ) 887-2500 <br /> 16930 E COMSTOCK RD Shop : ( 209 ) 887-3665 <br /> LINDEN, CA 95236 Fax: ( 209 ) 877-3665 <br /> Mobile : ( 209 ) 481-6313 <br /> ------------------------------------------------------------------------------- <br /> ------------------------------------------------------------------------------- <br /> Permittee Type Permit Type Possession NOI Method of Submission <br /> -------------- ------------ -------------- -------------------------- <br /> Private App IXI Seasonal IXI Poss & Use IXI Phone IXI Fax IXI <br /> Q A Cert I Job I I Poss Only I I BoxIn Person IXI WebModem I I <br /> Ag PCO I I NOI required 24 hours prior to application <br /> Non-Ag I I `� <br /> Non-Ag Use : None <br /> Conditions : P`L <br /> I understand that this permit does not relieve me from liability for any damage <br /> to persons or property caused by the use of these pesticides . I waive any <br /> claim of liability for damages against the County Department of Agriculture <br /> based on the issuance of this permit . I further understand that this permit <br /> may be revoked when pesticides are used in conflict with the manufacturer ' s <br /> labeling or in violation of applicable laws, regulations and specific <br /> conditions of this permit . I authorize inspection at all reasonable times and <br /> whenever an emergency exists. by the Department of Pest ' ' de Regulation or the <br /> County Department of Agriculture of all areas treate or t be treated, storage <br /> facilities for pesticides or emptied containers and a uip used or to be usec <br /> in the treatment . Form PR-ENF-1�2/5 `( /Re/v0,7�!92 ) Pest ' ca ,nt ] <br /> - Permit Applicant : 9 � VG�^( <br /> Title : Hue Date : I f e, <br /> Issuing Officer : Issue Date : <br /> Page 1 <br />
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