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SU0006920 SSCRPT
Environmental Health - Public
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SU0006920 SSCRPT
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Last modified
5/7/2020 11:32:48 AM
Creation date
9/8/2019 12:39:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0006920
PE
2622
FACILITY_NAME
PA-0700593
STREET_NUMBER
10149
Direction
W
STREET_NAME
PELTIER
STREET_TYPE
RD
City
THORNTON
APN
011 040 02
ENTERED_DATE
1/22/2008 12:00:00 AM
SITE_LOCATION
10149 W PELTIER RD
RECEIVED_DATE
1/22/2008 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\P\PELTIER\10149\PA-0700593\SU0006920\SSC RPT.PDF
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EHD - Public
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SAN JOAQUIN 00UNTY 067 <br /> 1868 E. HA7FLTON AVWUEE <br /> �,-TOCKTOT'J, CA 95205- <br /> RE-STF-PUTM) MATERIALS PEWNTIT <br /> SOES DAIRY Permit lu=mber: <br /> ouniv District '7: <br /> 7406 W COTTA IRD <br /> 7 C <br /> AX. CA 95242- Ex-pirafion Date: DecLmber 31 2007 <br /> Effecdw Date: Jamiary i, +L'1 <br /> VI / <br /> 0 ��7 <br /> KENYf LUIZ Home Pbnne: (1091365-2491 <br /> 7406 W COTEA KID shop Phone: i <br /> LODI. CA 95242- Mobile Phone: ( <br /> Ffci: (209) 334-0161 <br /> Pernfiltee Type: Private Applicator NO I MeJLBA of submissiou: <br /> Pemin Type: Seasonal Phone: Fax: X Box: <br /> Possession: Possession & Use in Person: X Modem: Web: X <br /> NOI required 24 hours prior to application. <br /> Conditions: AP,Q <br /> See efid of permit far <br /> CZ& <br /> I tanda-:>tand that this pemit does not rel iew e me from liability for arty damages to azry parous or property r",�used ————- <br /> by the use of thew pesticides. I waive any claims of liability for damages against the County Departmeat of <br /> Agricultime based m.. the issuance of this permit. I fiuther understand that this pe�Tnit may be revokoi when <br /> pesticides areusol in conflict:with the mart ifactures labeling ca-inviolatirm of?Wwplicablp laws,regi dations and <br /> en <br /> %P specific conditions of this permit I authorize inspection at all reasonable times and whenever an enier g cy ezists <br /> by the Department of Pesticide Regulation or the County Department of Agriculture of all -;aeas treated or to be <br /> treated,storage facilities for pesticides or emptied contamff s and equipmait used-.,r to be used in the trt-atment, <br /> 1 have Corsi derpd F41 ttTnpti v---s and mitigation measures pursuant to Title 3.C a I i fcmi a Code of ReV.,latic-1w,section 6426 <br /> Taking into akmount ecunomic,ffrgircTariental,social,and Led-nologkml factors,lhave adopted those that are feasible <br /> -md wrAild suilbarantialiv lessen any sim- ificant-adverse impact on the mvironment. <br /> �V'Iez' <br /> Permit Applicant:__ /Z Signed:— <br /> 4141A�Iem 14 Y <br /> Issue Date-. <br /> Issuing Officer. Issue Date: <br />
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