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SU0011567 SSCRPT
Environmental Health - Public
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SU0011567 SSCRPT
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Last modified
5/7/2020 11:35:15 AM
Creation date
9/6/2019 10:02:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0011567
PE
2622
FACILITY_NAME
PA-1700251
STREET_NUMBER
21379
Direction
N
STREET_NAME
MANN
STREET_TYPE
RD
City
ACAMPO
Zip
95220-
APN
01728009
ENTERED_DATE
11/6/2017 12:00:00 AM
SITE_LOCATION
21379 N MANN RD
RECEIVED_DATE
11/3/2017 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\21379\PA-1700251\SU0011567\SUR SUB RPT ADDENDUM.PDF
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EHD - Public
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RESTRICTED MATERIALS PERMIT#39.15.3904239 Page 4 of 8 <br /> KOOYMAN,MICHAEL Expires: 1 213 11201 5 <br /> PERMIT CONDITONS ATTACHED <br /> [XI B-RM Use Near Schools <br /> [ ] O-Aluminum Phosphide in Rodent Burrows <br /> ' [X] P-General <br /> [ J 0-Dicamba&Phenoxy Herbicides-Central Valley/Hazardous Area <br /> [ ] R- Dlcamba &Phenoxys-Special Hazardous Area <br /> [ ] <br /> S- Metam Sodium,Metam Potassium, Dazomet <br /> T- Aldlcarb(Temik) <br /> [ j U- Endosulfan(Thiodan) <br /> [ ] V- Rice Pesticides Program <br /> [ ] <br /> -Attachments 1-5 Thiobencarb(Forms A,B) <br /> [ J W-Methyl Bromide/Suifuryl Fluoride <br /> Soil within greenhouses <br /> [ ]-Commodity <br /> [ ]-Soil injection <br /> [ ]-Tarped potting soil <br /> ' [ ]-Single tree site <br /> [ ]X-Furadan chemigation of grapes <br /> [ J Y-1,3-Dichloropropene <br /> [ ]Z-Other <br /> ' GROUNDWATER PROTECTION PERMIT CONDITIONS <br /> These conditions apply to pesticides labeled for agricultural,outdoor industrial,or outdoor Institutional use that contain <br /> chemicals listed in 3CCR section 6800(a):ATRAZINE, SIMAZINE, BROMACIL, DIURON (except products with less than 7% <br /> diuron applied to foliage), PROMETON,BENTAZON,AND NORFLURAZON.Ground Water Protection Areas(GWPA),for <br /> San Joaquin County,are designated in the Department of Pesticide Regulation document EH03-05.A list of GWPAs may be <br /> obtained from the Commissioner's Office or DPR's website(www.cdpr.ca.gov/docs/gwp). <br /> "Engineered rights of way"are defined as areas within a ground water protection area(GWPA)that are constructed In a way <br /> that results in increased runoff and collection of storm water, such as railroad ballasts and berms, public roadsides, and <br /> highway median strips or similar areas,but not canal or ditch banks or utility lines. <br /> SPECIFIC GROUNDWATER PROTECTION PERMIT CONDITIONS ATTACHED <br /> 1 GWP-C&D Unlined canal and ditch banks <br /> [ 11 -Percolation rate Is less than or equal to 0.2 Inches per hour <br /> [ ]2-Applied six months prior to water run <br /> 3-All applications are prohibited below high water line <br /> GWP-ROW Engineered rights-of-way within San Joaquin County GWPAs <br /> [ j 1A -Soil disturbance within 7 days <br /> [ ]iB -Incorporation <br /> [ j <br /> 1C - Applied between April 1 and July 31 <br /> [ ]2-Runoff passes through adjacent fully vegetated noncrop area <br /> [ ]3-Compliance with NPDES permit <br /> ]4-Runoff through adjacent area as overland flow <br /> c. GWP-R Runoff GWPAs within San Joaquin County , <br /> [ j 1 -Soil disturbance <br /> ' [ ]2- Incorporated <br /> [ ]3-Band treatment <br /> [ j 4-Applied between April 1 and July 31 <br /> ' [ ]5-Runoff water held onsite <br /> [ ]6-Runoff water stored offsite <br /> [ ]7-Runoff to adjacent fallow field <br /> ' GWP-L Leaching GWPAs within San Joaquin County <br /> ( j 1 -No irrigation <br />
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