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SU0011260 SSCRPT
Environmental Health - Public
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2600 - Land Use Program
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SU0011260 SSCRPT
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Last modified
5/7/2020 11:35:03 AM
Creation date
9/9/2019 10:39:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0011260
PE
2622
FACILITY_NAME
PA-1700010
STREET_NUMBER
18660
Direction
E
STREET_NAME
TOBACCO
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
10514018
ENTERED_DATE
3/3/2017 12:00:00 AM
SITE_LOCATION
18660 E TOBACCO RD
RECEIVED_DATE
3/3/2017 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
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FilePath
\MIGRATIONS\T\TOBACCO\18660\PA-1700010\SU0011260\SUR SUB RPT.PDF
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EHD - Public
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oPaUW a SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br /> 2101 E EARHART AVE, SUITE 100 �. <br /> STOCKTON, CA 95206 <br /> ' Office: (209)953-6000 Fax: (209)953-6022 <br /> c9 c Email: stocktonag2@sjgov.org Web: wwwco.san-joaquin.ca.us/agcomm <br /> ��FOR <br /> RESTRICTED MATERIALS PERMIT: 39-16-3900230 <br /> Operator:LAGORIO BROTHERS #3900230-2016-Version: 1 <br /> ' 20001 E FLOOD RD County District#:DIG <br /> LINDEN, CA 95236- Issued on: <br /> Validasof: <br /> ' Agent:LAGORIO,BRETT Expireson:12/31/2016 <br /> Primary Phone: <br /> Alternate Phone: <br /> ' Mobile Phone: <br /> Fax: <br /> Type of Use:Agriculturaj Use <br /> ' Pesticide Possession: Notices Of Intent pesticide <br /> o hours prior <br /> Possession and Use to application of pesticide containing <br /> Permit Duration:Seasonal restricted materials <br /> Employees Handle Pesticides <br /> ' Permit Conditibns:A, P,Q,V,0,Y,W,B, D,QL,M See condition detail for <br /> code descriptions. <br /> Regulatory Notes: <br /> LAGORIO, STEVE QAL 132259 12/16 <br /> i <br /> ---------------------------------------------------------------------------------------------------------------------------------------. <br /> ' I understand that this permit does not relieve me from liability for any damages to any persons or property caused by the <br /> use of these pesticides. I waive any claims of liability for damages against the County Department of Agriculture based on <br /> the issuance of this permit. I further understand that this permit may be revoked when pesticides are used in conflict with <br /> the manufacturer's labeling or in violation of applicable laws, regulations, and specific conditions of this permit. I authorize <br /> inspection at all reasonable times and whenever an emergency exists by the Department of Pesticide Regulation or the <br /> County Department of Agriculture of all areas treated or to be treated, storage facilities for pesticides or emptied <br /> t containers and equipment used or to be used in the treatment. 1 have considered alternative and mitigation measures <br /> pursuant to Title 3, California Code of Regulations, section 6426. Taking into account economic, environmental, social, <br /> and technological factors, I have adopted those that are feasible and would substantially lessen any significant adverse <br /> impact on the environment. <br /> ' [Form PR-ENF-125(Rev 11/06)Pesticide Enforcement Branch] <br /> ' Applicant: Q VIT\iC �1�119 T 41a k <br /> (Nam 87He) <br /> Applicant Signature: Date: <br /> tIssuing Offr r: Date: <br /> 1 <br /> ' Page 1 <br />
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