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SU0008669 SSCRPT
Environmental Health - Public
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SU0008669 SSCRPT
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Entry Properties
Last modified
5/7/2020 11:33:37 AM
Creation date
9/9/2019 9:04:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0008669
PE
2622
FACILITY_NAME
PA-1100040
STREET_NUMBER
19912
Direction
E
STREET_NAME
RIVER
STREET_TYPE
RD
City
RIPON
APN
2457006 07 08
ENTERED_DATE
3/14/2011 12:00:00 AM
SITE_LOCATION
19912 E RIVER RD
RECEIVED_DATE
3/14/2011 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\R\RIVER\19912\PA-1100040\SU0008669\SSC RPT.PDF
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EHD - Public
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SAN JOAQUIN COUNTY <br /> �' 1868 K HAZELTON AVENUE <br /> STOCKTON,CA 95205- <br /> E-mail, Web: .co.san-joaquin.ca uslagcomm <br /> Office:(209)469.3300 Fax: (209)465.3330 Recorder(NOPs): (209}469.3300 <br /> �i <br /> r <br /> RESTRICTED MATERIALS PERMIT <br /> Permit Number: 39-08-3900506 <br /> ZOLEZZL M&R <br /> F17787 E FRONT Coin District it D <br /> 4 LINDEN, CA 95236- Expiration Date: December 31, 2008 <br /> �- Effective Date: January 1, 2006 ' <br /> t . <br /> RICHARD ZOLEZ21 Home Phone: (2091887-3763 <br /> ' 17787 E FRONT Shop Phone: ( ) - <br /> LINDEN, CA 95236- Mode Phone: <br /> Fax <br /> Permittee Type: Private Applicator N01 Method of SubanaFsbnn <br /> Permit Type: Seasonal Phone: X Fat- Box: X <br /> Possession: Possession&Use In Person X Modem Web: <br /> NOI required 24 hours prior to application. <br /> Conditions: A,P.Q,u <br /> See end of pent&for <br /> k . <br /> code descriptions. <br /> I undo%tmd that this permit does not relieve me from liability for any damages to any persons or property caused <br /> by the use of these pesticides. I waive any claims of liability for damages ain <br /> gast the County Department of <br /> Agriculture based on the issuance of this permit. I further understand that this permit may be revoked when <br /> pesticides are used in conflict with the manufacturer's labeling or in violation of applicable laws,regulations and <br /> specific conditions of this permit. I authorize inspection at all reasonable times and whenever an emergency exists <br /> by the Department of Pesticide Regulation or the County Department of Agriculture of all areas treated or to be <br /> ,Ftreated,storage facilities for pesticides or emptied containers and equipment used or to be used in the treatment. <br /> [Form PR-ENF-125 (Rev.07/92)Pesticide Enforcement Branch w ] <br /> .� ` ZC3 Sin;e <br /> Perms Applicant: t,~i+t't- C.£ d: <br /> i <br /> (PL-ase Print <br /> I <br />° y Tine: as t'J Issue Dale: <br /> P ase <br /> FIssuing Officer Issue Date: -- <br /> F , <br /> Pane i <br />
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