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SU0007489 SSCRPT
Environmental Health - Public
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SU0007489 SSCRPT
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Last modified
5/7/2020 11:33:05 AM
Creation date
9/6/2019 10:02:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0007489
PE
2622
FACILITY_NAME
PA-0800348
STREET_NUMBER
21301
Direction
N
STREET_NAME
MANN
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
01728010
ENTERED_DATE
11/25/2008 12:00:00 AM
SITE_LOCATION
21301 N MANN RD
RECEIVED_DATE
11/24/2008 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\M\MANN\21301\PA-0800348\SU0007489\SSC RPT.PDF
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EHD - Public
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SAN 4501---_ :11N COUNTY <br /> 1969 E ':---- "'. JE <br /> Web'www.co.zan-.VoaquuLc&.us/aFomm <br /> OfEce: t'2091468-333M FW1- (309)469.32730 7&-n-rier(NCI's): (209)468-3700 <br /> RESTILICTED MA 's PERMIT <br /> STARP_C-7jkRILEZ IR Permit Number: --19-V-390406C <br /> 2130"1 N. NiA14NT RD. CaurdY District# F <br /> ACAMPO, CA 951220 Expuition Date: December 31, 2007 <br /> &ffix-five Diu: December 14, 2006 <br /> CHARLIE STARR Home Phone- (209) 369-7788 <br /> 21301 N. MANN RD. Shop Phone. <br /> ACAWO. CA 95220 Mobile ?tone: (209) 7-29-7791 <br /> Fax, <br /> .Pen, nittee "OPe- Private Applicator Nolmlemold Oi:Oa Mizsiow <br /> Pe,rinit Type, Seasonal Phone: Y, V-Sx.. x Box: <br /> Possession: Possession &Use In Person: X Modern Web: X <br /> N(YE requked 24 nown, Orl"or to application. <br /> Conditions- A, <br /> See end of Pe=1 fa: <br /> cads deKnpuon-_ <br /> --------- - - - ---------- <br /> 17------------------- — <br /> I =da*aw that LKisroernitJoim not relieve me&=lumbi lily formw iw-ms�mtowwpe-v=orpropatycwjwc --- -- <br /> '7y t:w uw of thew pestidde& 1 waive any clamu of liability--'cr awmager against the County Depwtment.of <br /> AgriculUxt based on the inumccof this permit it I further unda-xmthat chis permit rney be revoked when <br /> Pesticides are used in cmflict with the rnanuf&cWr)ez'.abdtn&x in violation of applicable laws,regulatian and <br /> specificimnditiais of thispemnit, 1. audhorize inspection at all reamabletimet and whenever an wtergency mists <br /> by the DepartaneM of Pesticide Regulation or the Ccxzty Depaitmem of A4V,.cuibxr of all anmx tTated or tc be <br /> tmated.morage fam liti es for pesticidgm or ernptzed=tainers and eqwpmeM used or to be;used in the treaty a-d- <br /> I nave rmvidav4 aitcmativeg and mitigation measures pursuant to Title 3, CaLiffamia Code or Regulations,wdi=i 64-26 <br /> Taking mt--ac=kxt comormc,amixarnatal,social,and tedmolojpcal factaT,I hav-adopted those that arl!Feasible <br /> sod would substantially lessor's arty significant adverse impact an the enviroru-nent. <br /> Nnrit Apphcaur- <br /> T issue Dam <br /> 155t,* Officcr. Iva 110 Issuc Datc: <br />
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