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SU0005027 SSC RPT
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WILDWOOD
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2600 - Land Use Program
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PA-0500247
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SU0005027 SSC RPT
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Last modified
12/27/2019 8:22:52 AM
Creation date
12/27/2019 8:15:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSC RPT
RECORD_ID
SU0005027
PE
2622
FACILITY_NAME
PA-0500247
STREET_NUMBER
15445
Direction
E
STREET_NAME
WILDWOOD
STREET_TYPE
RD
City
STOCKTON
APN
20314001
ENTERED_DATE
5/9/2005 12:00:00 AM
SITE_LOCATION
15445 E WILDWOOD RD
RECEIVED_DATE
5/3/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Office: (209)468-3300 Fax: (:09)468.3330 keeorder(NOI's): (209)468-330, <br /> RESTRICTED NUTERULS PERIVIff <br /> NUSSON FA1WS INC Permit Number: 39-05-3901267 <br /> 12550 S JACK TONE RD <br /> Cotuity District P': B <br /> A-L,kNTECA, CA 95336- apiration Date: December 31, 2005 <br /> Effective. Date: February 4, 2005 <br /> NlU.:,S{3N 'Home Photic: (209)463-7003 <br /> 99`70 S JACK TONE RD Shop Phone: (209)463-7003 <br /> :S'1!)!.til()N, CA 952I2- Mob le Phone_ (?09) 009-0075 <br /> riiti.iir_E_ Type: t-il:te. :'r limit r NCI 11 ediod o �sfj3:jt35 S1i7 Y: <br /> Penritt Seasomll Phone: X Fax: X Box: X <br /> Posmsionl Possession&Use In Person: X Modem- Web- X <br /> NC)I required 24 hours piior-to aptalicatiou. <br /> PCA Je,se Sandavol 209-958-814 9 <br /> Conditions,: A,P.t1,W <br /> See end of pent fur <br /> :ode descriptions. <br /> — — — — — — — — — — -- — — — — — — — — — — — — — — — — — — <br /> I understand that this permit does riot relieve me from liability for any damages to any persons or property,c'aused <br /> by the use of these pe&-ticides. I waive any claims of liability fol-darnages against the Courityz D par-tSnent of <br /> fi iculture based on the issuance of this perrrlit- I further understand that this permit may be revoked when, <br /> pastici&6 are.used in conflic-L with the inariiifa:~Lue is labeling or in violation of applicable laws,regulations and <br /> ific conditions of this permit. I authorize inspection at all reasonable times and whenever an ernengen_:y exists <br /> by the Departrrient of Pesticide Reimlation or the County Departiiient of.A4r'icWture of all areas treated or to be. <br /> treated,storage facilities for pesticides or emptied containers and equipment.used or Lo be used in the treatrnent. <br /> C2 Orin PIt-E��F-]LS (Pev. u7i92)Pesticide Erifot Demerit BfariJl J <br /> srznwl Apphcar;t: M 1\7A N 6- Sid, 1° ,rte f J -h <br /> tit:= � — <br /> i r <br /> i : �'�� o�, v� s e � 133iiS�, Ditt4;: <br /> f P ease Przn i <br /> ISSili iur.Qf c ISStir DatC: <br /> LLL <br /> rage.r..___ <br /> rc <br /> I <br />
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