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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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JILL(Cfi.10/R-6.07/H-6.08/D-3.0) User:S-K Ranch,05/29/2003 11:04:12AM 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 /> Rec.#01003-M03-APL-1 <br /> ( ) Nursery <br /> County Section 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 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 4 <br /> E/S Van Allen S/Hwy 4 <br /> Date/Time Applied Area Treated Commodity or Site Treated Crop ID <br /> 1 Proposed:05/22/03 6:00 am Actual <br /> Actual: 05/22/03 3:00 pm 78.00 ac Grapes 29141-00 <br /> RestricteO Chemical I Registration dumber Total Formulated Rate Per Dilution <br /> Material 1 Number Product and Manufacturer From Label Product Used 11 ac Volume <br /> Sovran 7969-154 19.50 4.00 100.00 <br /> BASFlb oz gal <br /> Actagro PKZB 0000-00-0-00 39.00 2.00 100.00 <br /> Dow Coming gal qt gal <br /> Britz Dust Sul 80df 55146-75 390.00 5.00 100.00 <br /> Hook j lb lb gal <br /> Britz Silglow 10951-50058-AA 2.44 4.00 1 100.00 <br /> Hook 1 gal <br /> OZ i gal <br /> Days Reentry 1 Days Preharvest Application Supervised By NW N ! NE <br /> 3 day 30 day Tun Sunbury <br /> Environmental Changes/Comments <br /> W E <br /> Target Area <br /> Submitted By: Date Time PCA Name SW S SE <br /> Tim Sunbury 05/29/03 11:04AM Paul Parises, 8121 <br /> Received By: Box No. Date Time Approved <br /> Denied ,�� . (-- 0 1--- In,r <br /> _J <br /> JUN 0 3 2003 <br /> " 7't -»e: <br /> i <br /> r <br />
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