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SU0005907 SSCRPT
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SU0005907 SSCRPT
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Last modified
5/7/2020 11:31:52 AM
Creation date
9/6/2019 10:51:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0005907
PE
2622
FACILITY_NAME
PA-0600044
STREET_NUMBER
11964
Direction
E
STREET_NAME
LIBERTY
STREET_TYPE
RD
City
GALT
Zip
95632
APN
00713010
ENTERED_DATE
2/7/2006 12:00:00 AM
SITE_LOCATION
11964 E LIBERTY RD
RECEIVED_DATE
2/7/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\L\LIBERTY\11964\PA-0600044\SU0005907\SSC RPT.PDF
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EHD - Public
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SAN JOAQUIN COUNTY OD� <br /> 1868 E . HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Web URL E-Mail <br /> office ( 209 ) 468-3300 Recorder (NOI ) ( 209 ) 468-3300 FAX ( 209 ) 468-3330 <br /> OPERATOR/SITE IDENTIFICATION NUMBER OPERATOR/SITE I.D. it 39-02-3909051 <br /> County HQ District 9 : F <br /> FIRES, ANTONIO Expiration Date: 12/31/2002 <br /> 25723 ELLIOT RD Effective Date / 9a <br /> GALT, CA 95632 K''/��/47--� <br /> ANTONIO FIRES Home : ( 209 ) 334-4262 <br /> 25723 ELLIOT RD Shop: ( 209 ) 334-4262 <br /> GALT, CA 95632 Fax: <br /> Mobile <br /> Permittee Type Permit Type Possession NOI Method of Submission <br /> -------------- ------------ -------------- -------------------------- <br /> Private App I I Seasonal IXI Poss & Use IXI Phone I I Fax I I <br /> Q A cert I I Job I I Poss Only I I Box I I Modem I I <br /> Ag PCO IXI In Person I I Web I I <br /> Non-Ag I I NOI required 24 hours prior to application <br /> Non-Ag Use : None <br /> Conditions : No Conditions <br /> I understand that this permit does not relieve me from liability for any damage <br /> to persons or property caused by the use of these pesticides . I waive any <br /> claim of liability for damages against the County Department of Agriculture <br /> based on the issuance of this permit . I further understand that thio permit <br /> may be revoked when pesticides are used in conflict with the manufacturer ' s <br /> labeling or in violation of applicable laws, regulations and specific <br /> conditions of this permit . I authorize inspection at all reasonable times and <br /> whenever an emergency exists, by the Department of Pesticide Regulation or the <br /> County Department of Agriculture of all areas treated or to be treated, storage <br /> facilities for pesticides or emptied containers and equipment used or to be usec <br /> in the treatment . [Form PR-ENF-125 (Rev. 07/92 ) Pesticide Enforcement Branch] <br /> Permit Applicant : Sign : ��[[ <br /> Ti; e : c.J�� Issue Date : <br /> .� Issuing Officer : Zr+� Issue Date : <br /> Pages 1 � <br /> l <br />
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