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SU0003934 SSCRPT
Environmental Health - Public
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SU0003934 SSCRPT
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Last modified
5/7/2020 11:30:21 AM
Creation date
9/6/2019 10:25:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0003934
PE
2622
FACILITY_NAME
PA-0200378
STREET_NUMBER
25858
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
LODI
APN
02102019
ENTERED_DATE
5/11/2004 12:00:00 AM
SITE_LOCATION
25858 N JACK TONE RD
RECEIVED_DATE
8/28/2002 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\J\JACK TONE\25858\PA-0200378\SU0003934\SSC RPT.PDF
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EHD - Public
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STATE OF CALIFORNIA DEPARTMENT OF PESTICIDE REQ... <br /> MONTHLY SUMMARY PESTICIDE USE REPORT PEST7C1DE ENFORCEMENT BRr. <br /> PFI-ENF-030(REV-4M) <br /> m <br /> INSTRUC7TONS FOR COMPLE771Va THIS FOAM ARE INDCA TED SELOW AND ON THE REVERSE SIDE <br /> OPERATOR(FIRM NAME) AOORCSS CrfY zIP CCCE PVq/A:NUMBER <br /> zs2 Go ,t1. �o � .szLid � <br /> U_ InLj <br /> OPERATOR CE FICAT1tbAPERMR NUMBE LICENSENUMBER COUNTY CWHE APPLIED) COUNTY NUMBER MONTHf/EAR OF USE TD l UMBER OF APPLIGATIC <br /> /j 1--339- <br /> m. Comphar Columns A,B,C,and D forAN lAsers <br /> 2 Comi Column E by UsIng One of the Following Cod" <br /> Code 10 - Structural Pest Control...............I..................includes any pest control work performed wilhin or on buildings and oNer structures. <br /> Code 30 - Landscape Maintenance Pest Control—...... induces any pest control worlk performed on landscape plantings around residences,a other MMldings,got courses.parks,cemeteries,ate. <br /> Code 40 - Rfighlof-Way Pest Control....._..................... Includes any pest control work performed along roadsides,power lines,median strips,ditch banks and simitar sites. <br /> Code 50 - PMbTIe Health Pest Control........................... includes any past antToi work performed by or under contract with Stale or local public health or vector control agendas. <br /> I= Code 80 - Vertebrate Pest Control................................ Includes any vertebrate pest control work performed by public agencies or work under the superAsion of the State or aunty agricultural commissiol <br /> Code 91 - Commodity Fumigation(Nonfood'NonleeO...Includes fumigation of nonloodlnonfeed commodities such as; pallets,dunnage,lumiture,burlap bags,etc. <br /> U Code 100- Regulatory Pest Control................................includes any pest control Wok performed by public employees or contractors in the control of regulated pests. <br /> H A Complete Columns Ford G.N Use Doss not FN one of ft Abow Cod" - <br /> 7 A g C D E F B <br /> O MANUFACTURER AND EPAM.ALIFDRNA REGISTRATION NUMBER FROM LABEL TOTAL PRODUCT USED NUMBER OF RODE COMMODITY OR GRE ACRESWTS <br /> h NAME OF PRODUCT APPL IED INCLUDE ALPHA COVE ICkY OnA Lit olMwws) APPLICATIONS TREATED TREATED <br /> c'30 CCJ�N' LB OZ PT y/L�ELJJ <br /> US OZ PT OT GA <br /> LB OZ PT OT GA <br /> .-. .. :n La OZ PT DT GA <br /> 00 "q LB OKI PT m OA <br /> co <br /> 1l1 N U 20130 <br /> (h L8 OZ PT m GA <br /> VM Z73 Cc,N l <br /> AT,:is%.CuD�tI <br /> � Le oz PT m w <br /> Iri <br /> `-' LB OZ PT On GA <br /> m <br /> m LS OZ PT m OA <br /> in <br /> WLa Oz " aT GA <br /> m <br /> REPORT PREPARED BY DATE <br />
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