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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(C-6.80/R-6.80/H-6.80/D-3-0) User: Ranch,07/18/2003 10:39:11AM Version:4.6 <br /> STATE OF CALIFORNL-k - ENVIRONMENTAL PROTECTION AGENCY <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> PESTICIDE USE REPORT (33-025 Rev 3/90) PMIS 0033 <br /> —� Rec.#01140-MO3-APL-2 <br /> ( ) Nursery <br /> County I 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 6 <br /> E/S Van Allen S/Hwy 4 <br /> Date/Time Applied i Area Treated Commodity or Site Treated Crop ID <br /> — Proposed:07/14/03 6:00 am Actual <br /> Actual: 07/14/03 3:00 pm 66.00 ac Grapes 29141-00 <br /> Restricted Chemical Registration dumber Total Formulated Rate Per Dilution <br /> •- Material Number Product and Manufacturer From Label Product used j ac Volume I <br /> Nexter 7969-106 18.15 ! 4.40 100.00 I <br /> BASF lb ! oz al <br /> N 22451 Rally 40w 100707 00215-rte 16.50 j 4.00 100.00 <br /> Rohm&haas _ lb oz gal <br /> Britz Silglow 10951-50058-AA 2.06 4.00 100.00 <br /> I Hook gal � oz gal i <br /> Days Reentry Days Preharvest Application Supervised By NW N NE <br /> I day I 50 day Tim Sunbury <br /> Environmental Changes/Comments <br /> W E <br /> Target Area <br /> — <br /> Submitted By: Date Time PCA Name SW S SE <br /> Tim Sunbury 07/18/03 10:39AM Paul Parises, 8121 <br /> Received By: Box No. Date Time Demed <br /> d <br /> i ; . s1r�) <br /> �i1L Rr C.u11.7 <br /> AG-, (. VOtYIMIr �/� d r�IR. S."AVi AtJ�` <br /> '— <br /> r= <br /> X111 -1 0 2003 <br /> AGR. COW111. , <br />
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