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SU0005837 SSCRPT
Environmental Health - Public
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SU0005837 SSCRPT
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Entry Properties
Last modified
5/7/2020 11:31:48 AM
Creation date
9/9/2019 10:59:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0005837
PE
2622
FACILITY_NAME
PA-0500829
STREET_NUMBER
16411
Direction
S
STREET_NAME
VICTORY
STREET_TYPE
RD
City
OAKDALE
APN
22922030
ENTERED_DATE
12/21/2005 12:00:00 AM
SITE_LOCATION
16411 S VICTORY RD
RECEIVED_DATE
12/20/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\V\VICTORY\16411\PA-0500829\SU0005837\SSC RPT.PDF
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EHD - Public
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SAN JOAQUIN COUNTY <br /> 1868 E. HAZELTON AVFNUE., <br /> STOCKTON, CA <br /> "I 205 <br /> Office: dD(}� <br /> (209A68-3300 Recorder (NOD: (209)4(319-3300 <br /> RESTRICTED MATERIALS PERMIT Permit#: 39-01-3903187 <br /> County HG District#: C <br /> GREEN FARMS Expiration Date: 12/31/2001 <br /> 1 <br /> 30324 E LONE TREE RD Effective Date q-/0 -d! <br /> OAKDALn, CA 953(31- <br /> RICK GREEN Home: (209)848--."401 <br /> 30324 E I,(1NE TREE FI) Shop.• (209)848-0401 <br /> 0AEDALE, CA 95361- Fay: <br /> Mobile: (209)965-393<_:• <br /> LPermittee Type - PNrmit Tyle=====Possea ion NOI Method of Submission <br /> L - - - <br /> PrivCO <br /> ate App CSeasonal ClQ Posy: ?-. UseCIu , <br /> CI Phone ----L=� ac£-- - F [71 -- <br /> ACert C I Job C I Poss Only C I Box 1XI Modem C7n <br /> C ] In Person [XI, <br /> Non-Ag [ NOT required 24 hours prior toapplicrlt'rill <br /> Nwctb Pesticide Pest(s) Frrm. Method(a) Applicator(a) <br /> L1051 SEVIN LARVAE Liciui: Air ",rrxlnci -- I'r,€7 Grow. V. <br /> 3590 LINDANE LARVAE Lic1uic3 hound <br /> 3540 METHYL PARATHTO LAllL<'AF iquid. A Lc Gr ouni PCO Grc=-a <br /> L <br /> 44231 ORDRAM WEEDS C'xrat2ul.e e Aid.' Ground TACO Grov7 <br /> 4340 AL1,11INUM PHOST=H RODENTS F-oadga7-71: Fumigate POO Gro w7_Z <br /> 5?3fi PROF ell , tu74EDS Liquid it Gro'�U'16 PCO Growa _ <br /> 3„ n 1CPA, rnI;ETH,.v,.uA [ EEDIS r iyU4P.. . ", r 1'ou1_ CJ <br /> ` 9301 2,4-D AMINE WEEDS Liquid Ground PCOM G -o ser <br /> 1S011 PARAQUAT WEEDS Liquid Air Ground PCO Geow- r <br /> 19:330 THIOPENCARB WEEDS Liquid Ground PCC-1 Grower, <br /> t 9::t .t :}'? PESTICIDES CONT TIN UEI? ON N=. PAGE <br /> L Non-Ag Use; <br /> C4-.) dittona: P6(VZ <br /> LI understand-that this permit does not relieve me from liability for any damage -_ <br /> to persons or proverty caused by the use of these pesticides. I waive ally <br /> claim of liability for damages against the County Depar.tmant of Agriculture <br /> based on the issuance of this permit. T further understw-4d that this ptr-rmi.t <br /> may be revoked when pesticides are ,.7se1 in conflict with the manufacturer":, <br /> labeling or in violation of applicable laws, regulations and specific <br /> coaiditions of this permit. I authorise inspe=ction at all reasonable tlmea an <br /> whenever an emergency exists, by the Department of Pesticide. Regulation or th,,t <br /> County Department of Agriculture of all areas treated or to be treated, stor age- <br /> L f•3Cil'ties for pesticidesOr emptied Container` twid ' quipment use.(-' or to be a.j13fl;� <br /> is the trraai:cr:e:It. .[/F./yoi/m .FR-EIF-125 rRev. 77-19<} Fe-ticide c I'- <br /> a <br /> LPermit Applicant: Sign <br /> Title: /1c4H i- Date: y- /O •- O <br /> LJJs uing Officer: Date: tf�F' 01 <br /> L <br />
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