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Page 11 <br /> SAN JOAQUN COUNTY <br /> 1868 E.HA2 ELTON AVENUE <br /> STOCKTON,CA 95205- <br /> E-mail: Web:www.ao.san joaqui.ea uslapomm <br /> Office:(209)468-3304 Fax!(209>469-3330 Recorder(NDI's):(209)165.3300 <br /> DESTRIMD MATERIALS PERMIT <br /> SOLARI J&A PeTmitNumber: 39-04-3900435 <br /> 17105 E WAGNER LN County District#f: D <br /> LINDEN,CA 95236- Egkation Date: Decomber 31,o 00 <br /> Effective Date: J��r� $ <br /> ANDREW SOLARI Horne Phone: (209)465-6689 <br /> 17105 E WAGNER IN Shop Phone: (209)887-2055 <br /> LINDEN, CA 95236- Mobile Phone: (209)481-4332 <br /> Fax (209)887-9516 <br /> Permittee Type: QACIQAL N0I Method of Submission: <br /> Permit Type: Seasonal Phone: X Fac X Box X <br /> Possession: Possession&Use In Person: X Modem: X Web: <br /> NOT required 24 fours prior to application. <br /> Conditions: A,P,Q,T See end of permit for <br /> Code deDCr'lgtions. <br /> i understand that this permit does not relieve me from liability for any damages to any persons or property caused — —by the use of these pesticides. I waive any claims of liability for damages against the County Department of <br /> Agriculture based on the issuance of this permit. I further understand that this permit maybe revoked when <br /> pesticides are used in conflict with the manufacturer+&labeling or in violation of applicable laws,regulations and <br /> specific conditions of this permit. I authorize inspection at all reasonable times and whenever an emergency exists <br /> by the Department of Pesticide Regulation or the County Department of Agriculture of all areas treated or to be <br /> treated,storage facilities for pesticides or emptied containers and equipment used or to be used in the treatment. <br /> [Form PR-FNF-125 (Rev. 07192)Pesticide Enforcement Branch] <br /> Penn&Appiicanit GZ: fir,`/ !,l In r° Si necl " L <br /> —prid / <br /> Title: ( W f2-e Issue Date: <br /> IZL,07v,, <br /> Date- <br /> less <br /> Issuing OfficerIssue Date: r�� <br /> _ . , <br />