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SU0006920 SSCRPT
Environmental Health - Public
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2600 - Land Use Program
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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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STATE <br /> DEPARTMENT <br /> PESTICIDE USE REPORT <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PR{NF-026(REV.2A19) <br /> NURSERY <br /> COU"NO. SECTION TOWNSHIP RANGE BASE. APP..ETHOO PERMITTEEJPROPERTYOPER�TOR APPLICATOR NAME AND ADDRESS <br /> - .ry_ NIOIAN AIRO ,1\/� <br /> 3 B 4V W 6 H pOTHHEROIJNp t �� ll.4 <br /> OPERA ID/P pMiT NUMBER SITE IDENTIFICATION NUMBER TOPAL PLANTED <br /> B _ / AcAESNNITO JERRY ATKINS <br /> LocanoN s� +0 12332 E. Hwy 26 <br /> BLOCK ID Stockton, CA 95215 <br /> OF APPLICABLE) <br /> 2 3 <br /> DATERIM APPIL�IEDy CRE$A1N1T5 TRE D CO ODITY/SITE TREATED <br /> 14 O`O 16 ra <br /> CHEM MANU CN RNAME OF PRODUCT APPLIED EPAXAU REGI TON NUMBER FROM LABEL TOTAL PRODUCT USED RATE <br /> DILUTION 1S +e 20 21 22 <br /> La. o2.� Or. W. <br /> • t l - Ls. cz. O. 1,241 <br /> �O- <br /> /ez� <br /> LB. OZ. uT. W. <br /> LB. O2. PT. GT. aA. <br /> La. M. R. OT. Gl <br /> lB. OL Pi. pT. G0. <br /> DAYS REENTRY DAYS PREHARVEST APPLIEUSUPERVISED BY OSP 01 BU97 <br /> 2! 25 20 <br /> FoSubmit WHITE AND PINK COPY to the�COUNTY AGRICULTURAL COMMISSIONER within 7 days of application. <br /> nn Distrubution: White copy--Agricultural Commissioner, Pink copy--DPR; Canary copy--Applicator, Goldenrod copy--Grower <br />
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