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SU0006957 SSCRPT
Environmental Health - Public
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SU0006957 SSCRPT
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Entry Properties
Last modified
5/7/2020 11:32:49 AM
Creation date
9/6/2019 10:40:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0006957
PE
2622
FACILITY_NAME
PA-0800028
STREET_NUMBER
6686
Direction
W
STREET_NAME
KILE
STREET_TYPE
RD
City
LODI
APN
01112002
ENTERED_DATE
2/7/2008 12:00:00 AM
SITE_LOCATION
6686 W KILE RD
RECEIVED_DATE
2/6/2008 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\K\KILE\6686\PA-0800028\SU0006957\SSC RPT.PDF
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EHD - Public
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T <br /> ICY <br /> 711�Nl CIA I — 1, <br /> E-Mail <br /> _ec-c"C Jer .F 'I F <br /> t .nK=R:11 S PFIY�IM— <br /> DEN BART,G -TwVL FAR11115 -Iate. <br /> 7457 W NILE RD E f f-- I Ve fate <br /> LCIDT 52 I':,-_ L( <br /> Ir <br /> PIETER U)Fj,1 14 <br /> .AJR JY)G 7cme: <br /> 7490 W F.TLE RD Shop: <br /> LODI, CA 95242- Fax; 2097940608 <br /> ('409)915-1329 <br /> Permittee Type Permit Type Possession NOT Method of Suml*siOD <br /> -------------- ------------ -------------- -------------------------- <br /> Private App M Seasonal jv-; Pori a CL-e I I Phone IX( Fax <br /> A Cert. I i Job I I Poas Only tX1 Box LX1 Moder, I <br /> Ag PCO PCO Only 11 In Person 1XI Reb ) <br /> Non-Ag NoT required 24 hnuta prior t_ auPlir-atiOn <br /> Non-Ag Use: None <br /> Conditions: see end if permit for <br /> -c1de de5cviptianv. <br /> —----- Tp------------- --------------- <br /> f rcm -, <br /> that thi* per�it iOeu -,Jot re-11eve jatility formas damage <br /> to persons .ter property caused by the use of these pesticides. I Wai've any <br /> claim of liability for lamaaez against the C-:,unty C.eDartment of Agriculture <br /> based on the IJ-seance c•l this Permit, further understand that this permit <br /> may k>e revoked when PezLICade5 are u5ec In cjnfjit with the maniffaCtureEs <br /> labeling or in violatjoyj of appl'ic,,*able laws, regulations 3T;d spe'.-If,c <br /> .1 - <br /> I -Emit, ize. inspection a7� a]-, rc,�sonable times and <br /> of chis D� l <br /> 'whenever an emergency exists, by the D-IsEEment f pPesticidePesticideagulacion or the <br /> =rvnty Department of Agriculture iD-- �iarea;: trea`ed oc to I'le treated, storag- <br /> facilities foe pesticides ot emptied containers and equipment used .ter: ro be used <br /> In the treatment. PR-EbW-12rev. 0_ Pesticide En f- -t Brznchl <br /> 7 <br /> Sion.. -kmw — 69,f <br /> Title; -ssue D3te: <br /> Date� <br /> -s--LjLjjrj 0 ficer, <br />
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