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SU0010083 SSCRPT
Environmental Health - Public
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SU0010083 SSCRPT
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Last modified
5/7/2020 11:34:23 AM
Creation date
9/6/2019 10:26:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0010083
PE
2622
FACILITY_NAME
PA-1400097
STREET_NUMBER
500
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
10504015
ENTERED_DATE
5/29/2014 12:00:00 AM
SITE_LOCATION
500 N JACK TONE RD
RECEIVED_DATE
5/29/2014 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\J\JACK TONE\500\PA-1400097\SU0010083\SSCR RPT.PDF
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EHD - Public
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SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br />2101 E EARHART AVE, SUITE 100 <br />STOCKTON, CA 95206 <br />Office: (209) 953-6000 Fax: (209) 953-6022 <br />Email: stocktonag2@sjgov.org Web: mm.co.san-joaquin.ca.us/agcomm <br />RESTRICTED MATERIALS PERMIT: 39-14-3900148 <br />Operator: MORADA FARMING COMPANY <br />P O BOX 659 <br />LINDEN, CA 95236 <br />Agent: FOPPIANO,SKIP <br />Type of Use: Agricultural Use <br />Pesticide Possession: Possession and Use <br />Permit Duration: Seasonal <br />Employees Handle Pesticides <br />Permit Conditions: A, P, Q, O, Y, W, B <br />Regulatory Notes: <br />Zj ORIGINAL <br /># 3900148 -2014 -Version: 18 <br />County District #: D <br />Issued on: ('Z - 3 6-_ <br />Valid as of: <br />Expires on: 12/31/2014 <br />Primary Phone: <br />Alternate Phone: <br />Mobile Phone: <br />Fax: <br />Notices Of Intent required 24 hours <br />prior to application of pesticide <br />containing restricted materials <br />See condition detail for <br />code descriptions. <br />I understand that this permit does not relieve me from liability for any damages to any persons or property caused by the <br />use of these pesticides. I waive any claims of liability for damages against the County Department of Agriculture based <br />on the issuance of this permit. I further understand that this permit may be revoked when pesticides are used in conflict <br />with the manufacturer's labeling or in violation of applicable laws, regulations, and specific conditions of this permit. I <br />authorize inspection at all reasonable times and whenever an emergency exists by the Department of Pesticide <br />Regulation or the County Department of Agriculture of all areas treated or to be treated, storage facilities for pesticides or <br />emptied containers and equipment used or to be used in the treatment. I have considered alternative and mitigation <br />measures pursuant to Title 3, California Code of Regulations, section 6426. Taking into account economic, <br />environmental, social, and technological factors, I have adopted those that are feasible and would substantially lessen <br />any significant adverse impact on the environment. <br />[Form PR-ENF-125 (Rev 11/06) Pesticide Enforcement Branch] <br />Kc; s\-; 5 <br />Applicant: fit,,,- S _0 A�l <br />Applicant Sig <br />- Issuing <br />Page 1 <br />Date: - �j0 "X-5 <br />Date: ��, ' 2 b 1 i <br />
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