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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-6.10/R-6.07/11-6.08/D-3.0) User:S�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 /> -,,,Rec.#01078-M03-APL-1 <br /> ( ) Nursery <br /> County Section! Township ' Range Base&Meridiani Method Permitte/Customer Applicator Name&Address <br /> T-7 39 24 O1N 08E M I G Murphy Ranch Triple S Farming <br /> Operator Identification Number Site Identification Number j 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 5,7 <br /> TE/S Van Allen S/Hwy 4 <br /> Date/Time Applied Area Treated Commodity or Site Treated Crop ID <br /> Proposed:06/25/03 6:00 am Actual <br /> TActual: 06/25/03 3:00 pm 103.00 ac Grapes 29141-00 <br /> kestricted Chemical Registration Number Total Formulated Rate Per Dilution <br /> Material Number Product and Manufacturer From Label Product Used ac Volume <br /> T-- <br /> Hook Britz Silglow 10951-50058-AA 1.61 2.00 100.00 <br /> gal oz�, gal <br /> Sovran 7969-154 25.75 1 4.00 100.00 <br /> BASF lb oz gal <br /> Days Reentry Days Preharvest Application Supervised By NW N NE <br /> 24 hr 30 day Tim Sunbury <br /> TEnvironmental Changes/Comments <br /> W E <br /> TTarget Area <br /> Submitted By: Date ! Time PCA Name SW S SE <br /> TTim Sunbury 06/25/03 ! 10:57AM Paul Parises, 8121 <br /> Received By: Box No. Date Time Approved <br /> Denied <br /> V <br /> �I if t <br /> V1, <br /> JUL 12003 <br /> ACS, corm. <br />
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