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SU0006303 SSCRPT
Environmental Health - Public
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SU0006303 SSCRPT
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Last modified
5/7/2020 11:32:17 AM
Creation date
9/9/2019 10:56:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0006303
PE
2622
FACILITY_NAME
PA-0600520
STREET_NUMBER
5527
Direction
S
STREET_NAME
VAN ALLEN
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
18327011 12
ENTERED_DATE
10/11/2006 12:00:00 AM
SITE_LOCATION
5527 S VAN ALLEN RD
RECEIVED_DATE
10/10/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\V\VAN ALLEN\5527\PA-0600520\SU0006303\SSC RPT.PDF
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EHD - Public
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' SAN JOAQUIN COUNTY <br /> 1858 E-HAZELTON AVENUE <br /> STOCKTON, CA 95205- 2006 <br /> 6, E-mail: Web:www.co.san joagek.ca.usfapomm <br /> Office: (709)468-33x0 Fax: (209)468.3330 Recorder(HOPS): (209)468.3300 <br /> RESTRICTED MATERIALS PERMIT <br /> low CAFFESE,EUCHE Permit Number: 39-0 3900062 <br /> 1 5475 VAN ALLEN RD County District##: D <br /> `- STOCKTON. CA 95245- FViretion Date: December 31, 2045 <br /> Effective Date' 90 <br /> EUGENE CAFFESE Home Phone: (209)463-8057 <br /> 5475 VAN ALLEN RD Shop Phone: (209)463-9405 <br /> STOCKTON, CA 95205- Mobfie Phone: (209)481-5956 <br /> Fate <br /> Penliffee Type: QACIQAL NOI Melhad of Subndisiam <br /> Permit Type: Seasonal Phone: X Fax Bor. X <br /> Possession: Possession&Use In Person: X Modem: Web: <br /> NOI required 24 hours prior to application. <br /> Conations: A.P.Q,w <br /> See end of penak for <br /> code descriptions. <br /> I understand that this permit does not relieve me from liability for any damages to any persons or property caused <br /> ti. by the use of these pesticides. I waive any claims of liability for damages against the County Department of <br /> Agriculture based on the issuance of this permit i further understand that this permit may be revolted when <br /> pesticides are used in conflict with the manufacturer's labeling or in violation of applicable Ian,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 /> treated,storage facilities for pesticides or emptied containers and equipment used or to be used in the treatment <br /> [Form PR-ENF-•]25 (Rev. 07/92)pesticide Enforcement Branch] <br /> L. <br /> �.. Permit Apocant e Signed: <br /> (PL-- <br /> Tide: D`WM PITT Issue Date- <br /> Me <br /> ate: <br /> Me'e <br /> I'ssLft Oificer. Issue Dante: d�' <br /> 06. <br /> Nip i <br />
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