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SU0006146_SSCRPT
Environmental Health - Public
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SU0006146_SSCRPT
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Last modified
11/20/2024 8:59:18 AM
Creation date
9/9/2019 10:31:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0006146
PE
2622
FACILITY_NAME
PA-0600385
STREET_NUMBER
34501
Direction
S
STREET_NAME
STATE ROUTE 33
City
TRACY
APN
25517003
ENTERED_DATE
7/25/2006 12:00:00 AM
SITE_LOCATION
34501 S HWY 33
RECEIVED_DATE
7/24/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\HWY 33\34501\PA-0600385\SU0006146\SSC RPT.PDF
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EHD - Public
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SAN JOAQUIN COUNTY <br /> 1868 E. HAZELTON AVENUE 20° s <br /> STOCKTON, CA 95205- <br /> E-mail: We$:www.co.san-ioaquin.ca.usJagcoxnm <br /> Office: (209)468.3300 Fax: (309)468.3330 Recorder(NOI's): (209>469.3300 <br /> RESTRICTED MATERIALS PERMIT <br /> Permit Number: 39-05-3902116 <br /> THOMSEN FARMS <br /> County District#: J <br /> 2365 W DURHAM FERRY RD <br /> TRACY, CA 95304 Expiration Date: December 31, 2005 <br /> Effective Date: January 12, 2005 <br /> KENNETH THOMSEN Home Phone: (209)835-3136 <br /> 2365 W DURHAM FERRY RD Shop Phone: (209)835-5442 <br /> TRACY, CA 95304 Mobile Phone: (209)918-0651 <br /> LFax: (209)835-5488 <br /> Pemlittee Type: Private Applicator NOI Medhod of Submissiow <br /> L Permit Type: Seasonal Phone: X Fax: X Box: <br /> Possession: Possession &Use In Person: X Modern' Web: x <br /> NOT required 24 hours prior to application. <br /> PA-3997717,EXPIRES 12-31-2005 <br /> I <br /> Conditions: A,P,Q See end of p emit for <br /> code descriptions. <br /> L <br /> --------------------------------------------- <br /> I understand that this permit does not relieve me from liability for any damages to any persons or property caused <br /> �6. by the use of these pesticides I waive any claims of liability for damages against the County Department of <br /> Agriculture based an 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 /> L specific conditions of this permit I authorize inspection at all reasonable times and whenever an energenkzy exists <br /> by the Department of Pesticide Regulation or the County Department of Agriculture of all area treated or to be <br /> treated,storage facilities for pesticides or emptied containers and equipment used or to be used in the u-eatmav_ <br /> L [Form PR-ENF-125 (Rev. 07/92)Pesticide Enforcement Branch I <br /> Permit Applicant SAIZ a Signed:^ <br /> (lease Pnnt) <br /> Tide: Issue Date: — <br /> fr ease P=t) <br /> Issuine Officer: Issue Date: aa /V. —249V_57 <br /> Page 1 <br />
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