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SU0006466 SSCRPT
Environmental Health - Public
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SU0006466 SSCRPT
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Last modified
5/7/2020 11:32:26 AM
Creation date
9/6/2019 11:01:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0006466
PE
2622
FACILITY_NAME
PA-0700064
STREET_NUMBER
19992
Direction
E
STREET_NAME
LONE TREE
STREET_TYPE
RD
City
ESCALON
APN
20510016 17
ENTERED_DATE
3/5/2007 12:00:00 AM
SITE_LOCATION
19992 E LONE TREE RD
RECEIVED_DATE
3/5/2007 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\L\LONE TREE\19992\PA-0700064\SU0006466\SSC RPT.PDF
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EHD - Public
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SAN JOAQUIN COUNTY �S <br /> 1868 E. 13AZELTON AVETUE <br /> S'TOCT-70N,CA 95205- <br /> E:-mail: «ti ekr:ci-��i�.ce.,an•ioaq�n_ca�Jagcotam <br /> Office:(209)468.3300 Fax: C200368.3330 Reco;deir(2dOI'a): (209)dH-3300 <br /> B.E,STEICITEP P1471ERL- S I'ERN Y <br /> VEEEINSTRA FMO-IERN G PermitNumber; 39-05-39U3245 <br /> I W3 S S_ m1't�I tCowity Disttict#: C' <br /> 95320- ExpimionDatte: December 31, 2001, <br /> Effective Dante: danraary31 lwi1776� <br /> FPUD VEENSTRA Home Phone: (209)838-2894 <br /> 15853 S SEXTON Shop Phone: (209)838-2894 <br /> ES("ATWN, CA 95+320- Mobile Phone: (209) 5954278 <br /> Permittee Type: Private Appliv;-, r v 0l Trod of Submiguraw. <br /> Per*.mt Tyre: Seasonal Phone: X Fwc ', Boc X <br /> P,Ls,Sess7orr: l'crSsessian&T T�e in 1'-now x Modem: Web- In <br /> r, NC}1 regiiired 24 hones ijrior t awlicaticml <br /> C:onditiom- See end of vennit 5w <br /> ` rade daacrladians. <br /> understand that this}e—rrait <br /> does riot relieve:ue fl,"m liability for any flair,:< .-s to si <br /> by the use of these pesticides. I waive airy clairne of liability for d&-rages against the f--Ounty Depaz anent of <br /> ,Fgiculuk a based on the issuance of his pern-r I athei•understand that this permit rimy be revoked whett <br /> r pesticides are used in conflict with the inanufactai et•'s labeling or in violation of applicable laws,rerculations and <br /> specific conditions of tivs p nuit. I.vjdj °ize ii1q ection at all reasonable titres and whenever an etiergency mists <br /> by die Department of Pesticide Lir--gilatiini or the Cofnity Depaitnirnt of Agricuj=i of all area treated or to i_,e <br /> - trresied,Storage facilities fit(•pesticides or emptied containers and egjipnleih used or to be used it the treatment <br /> [?oi-fflPF-EkTT-1 ` F'Rev. 10/92)Pest icideFmorceinclitFs1'dncb <br /> (Pl.dsa pmAl <br /> LSue Date: —0 5ti <br /> P-'t <br /> ` s� ✓ � <br /> ).Oi3rlrr5n a�i:6�.et ,_ _ t,:�M➢ou ��i <br />
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