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SU0004500 SSCRPT
Environmental Health - Public
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SU0004500 SSCRPT
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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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�w JILL(C-6.10/R-6.07/H-6.08/D-3-0) User: <br /> -. Ranch,06/16/2003 3:19:41PM Version:4.3 <br /> _ <br /> STATE OF CALIFORNIA - ENVIRONMENTAL PROTECTION AGENCY <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PESTICIDE USE REPORT (33-025 Rev 3/90) PMIS 0033 <br /> _ Rec.#01045-M03-APL-2 <br /> ( ) Nursery <br /> County Section I Township Range Base&Meridian; Method Permitte/Customer Applicator Name&Address <br /> 39 24 O1N 08E M G Murphy Ranch Triple S Farming <br /> Operator Identification Number j Site Identification Number Planted Area P O Box 15 <br /> 39-03-39-02-3903311 4-1 D 340.00 ac Farmington, CA 95230 <br /> Location Block ID 3,4, 6 <br /> E/S Van Allen S/Hwy 4 <br /> Date/Time Applied Area Treated Commodity or Site Treated Crop ID <br /> Proposed:06/10/03 6:00 am Actual <br /> Actual: 06/11/03 3:00 pm 222.00 ac I Grapes 29141-00 <br /> Restricted Chemical Registration Number Total Formulated Rate Per Dilution <br /> Material Number Product and Manufacturer From Label Product Used 1 ac Volume <br /> Sulfur Dust Britz 10951-9 3,330.00 ! 15.00 Y <br /> Hook lb lb gal <br /> _ Days Reentry Days Preharvest Application Supervised By N-W N SIE <br /> 24 hr 30 day Tim Sunbury <br /> Environmental Changes/Comments _ <br /> W E <br /> Target Area <br /> Submitted By: Date Time PCA Name SW S SE <br /> Tim Sunbury 06/16/03 3:19PM I Paul Parises, 8121 <br /> Received By: Box No. Date Time Approved <br /> j Denied <br /> 0 C <br /> .1 U N 2 2 2003 <br /> *...'(9 _ rT <br /> VL 1's <br /> aj <br /> AGR f ".+,MM. <br />
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