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SU0003934 SSCRPT
Environmental Health - Public
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SU0003934 SSCRPT
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Entry Properties
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
Scanner
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 CAL IFORNIA DEPARTMENT OF PESTICIDE REGUATIO, <br /> MONTHLY SUMMARY PESTICIDE USE REPORT PESTICIDE ENFORCEMENT BRANCH <br /> PR-EW-060(l1EV.44M <br /> m INSTRUC77ONS FOR COMPLETING 77415 FOAM ARE INDICATED BELOW AND ON THE REVERSE SIDE <br /> M <br /> OPERATOR(FIRM NAME) ADDRESS Cf1Y MOODIE PRONE NUMBER <br /> Q �,PvRRry 7aA/11 f} I/ /19 >�Filv� /1/ 7 A/� Cr4�/ gJ��3 -5-67 <br /> 0- CPERPOR IDENIIF)CATpWPERMR NUMBER LICENSE NUMBER COUNTY JYMERE APPLIEOI COUNTYNUMBER MONTRIYEAR OF USE 70TAL NUMBER OF APPLICATIONS <br /> �- Comphrr CohNnro A,8,C,and D hrr AN UBN n <br /> 2 Complete Cahurm Eby Using Orr of tM FollowAng Codes <br /> Code 10 - Structural Pest Control ................I........,.... ..includes any past control work performed witHn or on buildings and other structures. <br /> Code 30 - Landscape Maintenance Pest Control......... includes any pest control work performed on landscape plantings around residences,or other buildings,golf courses,parks,cemeteries,etc. <br /> Code AO - Right-OF-WRY Pest Control......:...I........_........ includes any pest control work performed along roadsides,power lines,median strips,ditch banks and similar sites. <br /> Cods 50 - Pubic Health Pest Control............................includes any post control work performed by or under connect with State or local public heath or vector controf agendas. <br /> F > Code BD - Vertebrate Pest Control................................ inchudes any vertebrate pest control work performed by public agencies orwak under the supervision of the State or county agricuturai commissioner. <br /> Code 91 - Commodity Fumigation(NonblodtNonfeed)...includes fumigation at nonloodinonk3ed commodities such as, pallets, dunnage,furniture,burlap bags,etc. <br /> o Coda 100- Regulatory Pest Control.................. includes any pest control work performed by publk employees or contractors in the control of regulated pasta, <br /> Z 1 Complete CaWmn■Fand 4 JY Use Dora not F/t ane of dwAbove Coda <br /> H <br /> A 0 T E F 6 <br /> MANUFACTURER ANO EPAdCALIFORNIAREOISTRATIONNLMBERIF MLABEL TOTALPROOl1CTUSEO NUMBE CODE COMMODITY OR STE ACfESNNre' <br /> O ,(/%} <br /> NAME <br /> OOFF PROIDUCTTAPPLIED INNyCLU�]DE�ALPNAODDE IckdSo"UNol MSULVA APPLIC/AA A- / TREATED TREAM <br /> U1 /l0(fj{lQ a -*ax A vz ��� -3D6 /-.t 4 ` LB OZI PT OT OA I �W 6 GjUS lYC..� <br /> La 02 PT OT 00 <br /> LB OS PT or GA <br /> La OZ PT OT OA <br /> m LB 02 PT OT GA <br /> m <br /> N <br /> N <br /> LB OZ PT OT GA <br /> m <br /> m <br /> N LB Oz PT OT GA <br /> N <br /> � <br /> LB OZ PT OT GA <br /> N <br /> 0 <br /> m LB oz Pr or GA <br /> N <br /> u] <br /> m <br /> I`n LS Oz PT Or OA <br /> -- REPORT PREPARED /�` DATE <br />
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