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SU0003975 SSCRPT
Environmental Health - Public
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SU0003975 SSCRPT
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Entry Properties
Last modified
5/7/2020 11:30:27 AM
Creation date
9/9/2019 10:40:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0003975
PE
2622
FACILITY_NAME
PA-0200194
STREET_NUMBER
11665
Direction
E
STREET_NAME
TOKAY COLONY
STREET_TYPE
RD
City
LODI
ENTERED_DATE
5/11/2004 12:00:00 AM
SITE_LOCATION
11665 E TOKAY COLONY RD
RECEIVED_DATE
5/16/2002 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\T\TOKAY COLONY\11665\PA-0200194\SU0003975\SSC RPT.PDF
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EHD - Public
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SAN JOAQUIN COUNTY <br /> 1868 E. HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> "Office : (209) 468-3300 Recorder (NOI) : (209) 468-3300 FAX: (209) 468-3330 <br /> RESTRICTED MATERIALS PERMIT Permit# 39-99-3900087 <br /> County HQ District# : H <br /> -ORRADI , MICHAEL Expiration Date : 12/31/1999 <br /> —3846 BURGE RD Effective Date : 01/04/1999 <br /> STOCKTON, CA 95215- <br /> KICHAEL CORRADI Home : (209) 931-0140 <br /> "3846 BURGE RD Shop : ( ) - <br /> STOCKTON, CA 95215- Fax: <br /> Mobile : ( ) 481-0516 <br /> Permittee Type Permit Type Possession NOI Method of Submission <br /> -------------- --- - -------- ---------- ---- -- ------------ - ----------- <br /> Private App [ ] Seasonal [X] Poss & Use [X] Phone [X] Fax [X] <br /> Q A Cert [X] Job [ ] Poss Only [ ] Box [X] Modem [ ] <br /> Ag PCO [ ] In Person [X] <br /> Von-Ag [ ] NOI required 24 hours prior to application <br /> -------------------------------------------------------------------------------- <br /> ------------------------------------------------------------------------------- <br /> Numb Pesticide Pest (s) Form. Method (s) Applicator (s) <br /> ----- --------------- - ----------- -------- ---- ----- - ------ ----- -- ---------- <br /> _L051 SEVIN LARVAE Liquid Air Ground PCO Grower <br /> 1360 CHLOROPICRIN NEMATODE Fumigant Ground PCO Grower <br /> 2000 DICAMBA WEEDS Liquid Air Ground PCO Grower <br /> 2001 BANVEL WEEDS Liquid Air Ground PCO Grower <br /> —2301 DI-SYSTON APHID Liquid Air Ground PCO Grower <br /> 3141 GUTHION MITES Liquid Air Ground PCO Grower <br /> 3824 METASYSTOX-R APHID Liquid Air Ground PCO Grower <br /> _3830 METHOMYL LARVAE Liquid Air Ground PCO Grower <br /> 3850 METHYL BROMIDE SOIL/STORED Fumigant Ground PCO Grower <br /> 3940 METHYL PARATHIO LARVAE Liquid Air Ground PCO Grower <br /> ****** PESTICIDES CONTINUED ON NEXT PAGE ****** <br /> Non-Ag Use : <br /> Conditions : PQW QAC# 15655 D <br /> I understand that this permit does not relieve me from liability for any damage <br /> =o persons or property caused by the use of these pesticides . I waive any <br /> ,Haim of liability for damages against the County Department of Agriculture <br /> based on the issuance of this permit . I further understand that this permit <br /> may be revoked when pesticides are used in conflict with the manufacturer ' s <br /> Labeling or in violation of applicable laws, regulations and specific <br /> 'conditions of this permit . I authorize inspection at all reasonable times and <br /> whenever an emergency exists, by the Department of Pesticide Regulation or the <br /> ;ounty Department of Agriculture of all areas treated or to be treated, storage <br /> ,acilities for pesticides or emptied containers and equipment used or to be used <br /> in the treatment . [Form PR-ENF-125 (Rev. 07/92) Pesticide Enforcement Branch] <br /> ermit Applicant : Sign: <br /> Title : Date : <br /> Issuing Officer: Date : <br /> WE ARE UNABLE TO LOCATE SIGNED ORIGINAL 1999 PERMIT. <br /> HAZEL R. GALLEGO, OFFICE ASSISTANT III <br />
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