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SU0014352
Environmental Health - Public
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SU0014352
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Last modified
9/30/2021 4:09:38 PM
Creation date
9/7/2021 10:39:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0014352
PE
2632
FACILITY_NAME
PA-2100172
STREET_NUMBER
27181
Direction
E
STREET_NAME
CARTER
STREET_TYPE
RD
City
FARMINGTON
Zip
95320-
APN
18726003, -04
ENTERED_DATE
8/17/2021 12:00:00 AM
SITE_LOCATION
27181 E CARTER RD
RECEIVED_DATE
9/2/2021 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Nutrient Management Plan Report <br /> General Order No. R5-2007-0035,Attachment C <br /> July 1, 2009 deadline <br /> E. CERTIFICATION STATEMENT <br /> 1 certify under penalty of law that 1 have completed the items of the Nutrient Management Plan that are checked in Parts 8, C <br /> and/or D above for the dairy identified in Part A above and that the appropriate certified nutrient management specialist has <br /> certified the items requiring such certification as noted in part 8 and/or D above and that / have personally examined and am <br /> familiar with the information submitted in Parts A, 8, C and D of this document and all attachments and that, based on my inquiry <br /> of those individuals immediately responsible for obtaining the information, 1 believe that the information is true, accurate, and <br /> complete. / am aware that there are significant penalties for submitting false information, including the possibility of fine and <br /> imprisonment. <br /> Jarred Mello <br /> SIGNATURE OF OWNER OF FACILITY SIGNATURE OF OPERATOR OF FACILITY <br /> Jarred Mello <br /> PRINT OR TYPE NAME PRINT OR TYPE NAME <br /> Jul 28,2021 <br /> DATE DATE <br /> Mello Ranch 127181 E Carter RD I Escalon,CA 95320 1 San Joaquin County I San Joaquin River Basin <br /> 07/19/2021 14:28:48 Page 26 of 26 <br />
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