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SU0009141 SSCRPT
Environmental Health - Public
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SU0009141 SSCRPT
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Last modified
5/7/2020 11:33:52 AM
Creation date
9/9/2019 10:56:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0009141
PE
2622
FACILITY_NAME
PA-1200049
STREET_NUMBER
5772
Direction
S
STREET_NAME
VAN ALLEN
STREET_TYPE
RD
City
STOCKTON
APN
18335011 12
ENTERED_DATE
4/6/2012 12:00:00 AM
SITE_LOCATION
5772 S VAN ALLEN RD
RECEIVED_DATE
4/6/2012 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\V\VAN ALLEN\5772\PA-1200049\SU0009141\SSCR RPT.PDF
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EHD - Public
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0 <br />Operator: MURPHY RANCH # 3903311 -2012 -Version: 1 <br />17350 FRONT STREET County District #: C <br />LINDEN, CA 95236 Issued on: t- 2-0- IZ <br />Valid as of: 1- 7 0- / Z <br />Attention: SUNBURY,TIM Expires on: 12/31/2014 <br />Type of Use: Agricultural Use <br />Pesticide Possession and Use <br />Possession: <br />Permit Duration: Seasonal <br />_ Employees Handle Pesticides <br />Conditions: A, P, Q, O, W <br />Regulatory Notes: <br />Home Phone: (209) 886-5493 <br />Office Phone: (209) 887-1150 <br />Mobile Phone: (209) 969-9889 <br />Fax: (209) 886-5494 <br />Notices Of Intent required 24 hours <br />prior to application of pesticide <br />containing restricted materials <br />See condition detail <br />for code descriptions. <br />I understand that this permit does not relieve me from liability for any damages to any persons or property caused by the <br />use of these pesticides. I waive any claims of liability for damages against the County Department of Agriculture based <br />on the issuance of this permit. I further understand that this permit may be revoked when pesticides are used in conflict <br />with the manufacturer's labeling or in violation of applicable laws, regulations, and specific conditions of this permit. I <br />authorize inspection at all reasonable times and whenever an emergency exists by the Department of Pesticide <br />Regulation or the County Department of Agriculture of all areas treated or to be treated, storage facilities for pesticides or <br />emptied containers and equipment used or to be used in the treatment. I have considered alternative and mitigation <br />measures pursuant to Title 3, California Code of Regulations, section 6426. Taking into account economic, <br />environmental, social, and technological factors, I have adopted those that are feasible and would substantially lessen <br />any significant adverse impact on the environment. <br />[Form PR-ENF-125 (Rev 11/06) Pesticide Enforcement Branch] <br />Applicant: 5,)"bury <br />(Name ills) <br />Applicant Signature: Date: D i- 2 0- 20 r L <br />Issuing Officer: Date: r —19 -1 -2 -- <br />Page <br />t$-1Z <br />Page 1 <br />
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