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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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`` STATE CALIFORNIA <br /> PESTICIDE USE REPORT 458117 <br /> DEPARTMENT <br /> ENT OF FOOD AND AGRICULTURE <br /> NURSERY APPLICATOR NAME AND ADDRESS <br /> COUNTYNO. SECTOO,N TO"smi,_ RAJhISS ISDN GPFP.METHDD PERMITTEE/PROPERTY OPERATOR` <br /> IR <br /> `" 5�M) R S/y�^u•�.. ` •�"'-�� JERRY ATKINS <br /> N NUMBER y <br /> TOTAL PLANTED 12332 E. Hw26 <br /> OPERATOR ID/PERMIT NO. SITE IDENTIFICATIOACRES/UNITS "l <br /> �J/� / 4� y—�// 10 it -7-- r-7-- r Stockton, CA 95215 <br /> B �"j'/ —V / —Q� — `�J BLOCK ID <br /> LOCATIION/l1 IIF APPLICABLE) <br /> 12 13 <br /> „ r <br /> ((//__ DATETI.tE APPIJED // TPTPL ACRE8NMT8 TREATED COMMOOT'/SITE TREATED <br /> PROPOSED ACTUAL v POBED ACTUAL / <br /> 14/ ///(/ / 1 15/� /R^t 181 ( / � - DILUTION TARGET PEST <br /> TOTAL PRODUCT USED RATE 23 <br /> CHEM.NFI. MANUFP R ANE OF PRDOUCT APPl1ED 19 EPA/CAIIF. REG. NO.FROM LABEL 20 21 22 <br /> 17 is �Y <br /> LB. OL PT. T. <br /> 1iYrr�of i�a� Tri /` 7 g <br /> LB. 0,' FT! IT. <br /> LB. OZ PT. OT. a <br /> LB. OZ. <br /> LB. OZ. PT. OT. W. <br /> N <br /> DAYS REEMRY <br /> DAYS PREMARVEST APPLJED/SUPERVISED BY <br /> 24 25 28 <br /> ENVIRONMENTAL CNANOES/COMMENTS TREATMENT <br /> E <br /> W AREA <br /> 2] <br /> SUBMRTED BY <br /> DATE TME PCA NAME <br /> RECEIVED SY BO% NO. DATE ❑APPROVED S <br /> ❑DENIED AWACSNT CROPS.SCNOOLS.OW011NGS.ETC. <br /> 33128% IREV.3/901. 90 89Z4d <br /> (2)CAC Submit WAGRICULTURAL COMMISSIONER within 7 days at application - <br />
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