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SU0004500 SSCRPT
Environmental Health - Public
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SU0004500 SSCRPT
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Entry Properties
Last modified
5/7/2020 11:30:49 AM
Creation date
9/9/2019 10:56:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0004500
PE
2622
FACILITY_NAME
PA-0400289
STREET_NUMBER
5760
Direction
S
STREET_NAME
VAN ALLEN
STREET_TYPE
RD
City
STOCKTON
APN
18335009
ENTERED_DATE
6/1/2004 12:00:00 AM
SITE_LOCATION
5760 S VAN ALLEN RD
RECEIVED_DATE
6/1/2004 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\V\VAN ALLEN\5760\PA-0400289\SU0004500\SSC RPT.PDF
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EHD - Public
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JILL(C-6.10/R-6.07/H-6.08/D-3.0) User:S-K Ranch,06/25/2003 10:56:37AM Version:4.3 <br /> STATE OF CALIFORNIA - ENVIRONMENTAL PROTECTION AGENCY <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PESTICIDE USE REPORT (33-025 Rev 3/90) PMIS 0033 <br /> --2ec.#01076-M03-APL-1 <br /> ( ) Nursery <br /> �ounty Section; Township Range ',Base&Meridiani Method Permitte/Customer Applicator Name&Address <br /> I39 24 O1N 08E M G Murphy Ranch Triple S Farming <br /> 'operator Identification Number Site Identification Number ! Planted Area P O Box 15 <br /> i9-03-39-02-3903311 4-1 D 340.00 ac Farmington,CA 95230 <br /> ocation i Block ID 5, 7 <br /> E/S Van Allen S/Hwy 4 <br /> )ate/Time Applied Area Treated Commodity or Site Treated Crop ID <br /> Proposed:06/13/03 6:00 am Actual <br /> rActual: 06/13/03 3:00 pm j 103.00 ac Grapes 29141-00 <br /> restricted Chemical Registration Number Total Formulated Rate Per Dilution <br /> .Material Number Product and Manufacturer From Label Product Used ac Volume <br /> Sulfur Dust Britz 10951-9 1,545.00 15.00 <br /> Hook lb lb ! gal <br /> Days Reentry Days Preharvest Application Supervised By NW N NE <br /> r24 hr 30 day Tim Sunbury <br /> Environmental Changes/Comments <br /> I <br /> r W E <br /> Target Area <br /> rSubmitted By: Date Time PCA Name SW S SE <br /> Tim Sunbury 06/25/03 10:57AM Paul Parises, 8121 <br /> Received By: Box No. Date Time Approved <br /> �4Denied <br /> JUL 112003 <br /> AGR. CowlIM. -S uut� C"j <br /> _ <br /> — <br /> AGR. COIN-W. "SilV M <br />
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