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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
Scanner
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#39.17.3904239 Page 2 of 7 <br /> KOOYMAN, MIKE Expires: 12131/2017 <br /> CONTACT LIST <br /> ' Name Auth Rep. Phone License E ixn ration Contact Type <br /> ALPINE HELICOPTER SERVICE 30969 12/3112018 Pest Control Business <br /> KOOYMAN,MIKE yes 3998826 12/31/2019 Private Applicator Certificate <br /> ' PESTICIDES LIST <br /> Numbs Pesticide Pests Forms Methods Applicators <br /> ' 106 CARBARYL LARVAE All Reg. Air/Ground PCB/Operator <br /> 200 DICAMBA WEEDS All Reg. Air/Ground PCB/Operator <br /> 231 DIURON WEEDS All Reg. Ground PCB/Operator <br /> ' 383 METHOMYL LARVAE All Reg, Air/Ground PCB/Operator <br /> 531 91MAZINE WEEDS All Reg. Ground PCB/Operator <br /> ' 786 MCPA, DIMETHYLAMINE SALTWEEDS All Reg. Air/Ground PCB/Operator <br /> 804 2,4-DB WEEDS All Reg. Air/Ground PCB/Operator <br /> 806 2,4-DAMINE WEEDS All Reg. Air/Ground PCB/Operator <br /> ' 1601 PARAQUAT WEEDS All Reg. Air/Ground PCB/Operator <br /> SITES LIST <br /> site Location I Site Name District Section(MTRS) <br /> Commodity Name/Code Quantity <br /> ' 1-2 GWPA RUNOFF S JAHANT 1 MI E/BENDER F M04N06E15 <br /> CORN FORIFOD 122006-0 30 ACRES <br /> ' Pesticide#s: 106 (CARBARYL), 200(DICAMBA), 383(METHOMYL) <br /> WHEAT FORIFOD/22007-0 30 ACRES <br /> Pesticide#s: 200(DICAMBA), 786(MCPA,DIMETHYLAMINE), 806(2,4-D AMINE) <br /> ' SOIL FUMIPREPLT 140008.0 30 ACRES <br /> Conditions: B-RM Use Near Schools, P-General,QL-Dicamba and Phenoxy <br /> ' 3-1 NI JAHANT 112 MI E/DUSTIN F M04N07E08 <br /> CORN FORIFOD/22006.0 45 ACRES <br /> Pesticide#s: 105 (CARBARYL),200(DICAMBA), 383 (METHOMYL) <br /> WHEAT FORIFOD 122007-0 45 ACRES <br /> Pesticide#s: 200(DICAMBA), 786(MCPA, DIMETHYLAMINE), 806(2,4-D AMINE) <br /> SOIL FUMIPREPLT/40008-0 45 ACRES <br /> ' Conditions: B-RM Use Near Schools, P-General,OL-Dicamba and Phenoxy <br /> 1 <br />
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