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' SAN JOAQUIN COUNTY Office Use Only <br /> AGRICULTURAL COMMISSIONER File N6: <br /> 2101 E. EARHART AVENUE SUITE 100 r ;; <br /> ' STOCKTON CA 95206 Received <br /> PHONE: (209) 953-6000 <br /> ' PUBLIC RECORDS REQUEST FORM <br /> — Records requests are processed in the order received — <br /> Records are available current Year+ last 4 years <br /> Complete the form and fax to (209) 953-6022 <br /> Attention: Hiromi Hernandez <br /> ' Or Email to stocktonag2(a)sigov.org <br /> TODAY'S DATE REQUESTER'S NAME <br /> 9/22/2017 Cheryl Gregory <br /> REQUESTER'S BUSINESS NAME BUSINESS MAILING ADDRESS <br /> Dillon & Murphy PO Box 2180, Lodi,CA 95241 <br /> CONTACT PHONE NUMBER EMAIL ADDRESS <br /> 209-334-6613 cgregory@dillonandmurphy.com <br /> tl am requesting copy of: <br /> ® Pesticide Use Reports ® Restricted Materials Permit/ ❑ other: <br /> ' of specific grower(s) Operator ID of specific grower(s) <br /> CHARGES: First 21 copies at$0.101copy. Each copy thereafter is$0.07/copy. Hard copies only. <br /> If files are found under the information submitted, you will be invoiced. <br /> Fee is due at the time of pickup. <br /> Year(s) Requested : 2012-2017 Grower/Ranch Name: Brent Workman <br /> ' Restricted Materials Permit Number Site ID APN <br /> 01728009 <br /> Location/Address Section Township Range <br /> ' 21379 Mann Road, Acampo, CA 21 T,4 N R. 7 E <br /> Additional Information <br /> ' ❖ If you are requesting data of ALL Permit Holders in San Joaquin County, go to "Downloadable Data" <br /> or click here. <br /> ' Data File includes: <br /> Permit Number&Permit Holder Name/Mailing Address <br /> Permit Issue& Expiration Date <br /> ' ➢ Site ID /Crop Names I Acreage of each crop <br /> ' ❖ If you are requesting data of ALL Pesticide Use Reports/Agricultural Pest Control Business County <br /> Registrations in San Joaquin County, go to "Downloadable Data"or click here. <br /> ' ❖ If you are requesting data of"Certified Producers Certificate Holders"or "Organic Program"or <br /> "Farmers Market", go to "Certified Producers/Farmers Market/Organic Program"Request Form. <br /> San Joaquin County policy considers phone numbers and email addresses confidential information, they are <br /> not included in the data file. <br /> ' Rev.07/2015 <br />