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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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.AW <br /> — JILL(C-6.80/R-6.80/H-6.80/D-3.0) User:S-K Ranch,07/18/2003 10:39:I1A11M Version:4.6 <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.#01137-MO3-APL-1 <br /> ( ) Nursery <br /> County Section Township Range Base&Meridiani 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 3 <br /> E/S Van Allen S/Hwy 4 <br /> Date/Time Applied Area Treated Commodity or Site Treated Crop ID <br /> Proposed:07/03/03 6:00 am Actual <br /> Actual: 07/03/03 3:00 pm 78.00 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 /> N 22451 Rally 40w i 00707-00215-AA 19.50 4.00 100.00 <br /> Rohm&haas lb oz gal <br /> N 38490 Provado solupak 03125-00428-AA 2.44 10.5000 100.00 <br /> Bayer lb oz gal <br /> Days Reentry Days Preharvest Application Supervised By NW N ! NE <br /> 1 day 50 day Tim Sunbury <br /> Environmental Changes/Comments <br /> W E <br /> ` Target Area <br /> Submitted By: Date I Time PCA Name SW S SE <br /> Tim Sunbury 07/18/03 1 10:39AM Paul Parises, 8121 <br /> Received By: Box No. Date Time Approved <br /> — <br /> Denied <br /> JUL 3 n 2003 <br /> AGR. CORX10. -61 uud-%: fl <br /> 14 Wr <br /> ,AGR. <br /> _ <br />
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