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r SAN JOAQUIN COUNTY <br /> 1868 E-HAZELTON AVENUE <br /> STOCKTON,CA 95205- <br /> E-mail: Web:wwta.co.san ioaquiacauslageomm <br /> Office:(209)468.3300 Fax:(209)468-3330 Recorder(NOI's):(209>469-3300 <br /> RESTRICTED MATERIALS FERM1T <br /> SOI ARI,J 8t A Permit Number: 39-053900635 <br /> 17105 E WAGNER IN County District#: D <br /> IRMEN,CA 95235- E>pbation Date: December 31, 2005 <br /> Effective Date: Imru <br /> ANDREW SOLAR.I Home Phone: (209)465-6689 <br /> 17105 E WAGNER.IN Shop Phone; (209)$87-2055 <br /> LINDEN,CA 95236- MObBe Phone: (209)481-4332 <br /> a <br /> Fay (209)8$7-9516 <br /> Permittee Type: QACIQAL NOI Mdthod of Submission: <br /> Pem*Type: Seasonal Phone: K Fare X BOX K <br /> Possession: Possession 8c Use In Person: X Modem: X Web: <br /> NOI required 24 hours prior to application. <br /> Conditions: A,P,Q,W see eud of pan&for <br /> code descriptions. <br /> I Understand that this pertnit does not relieve me from liability for any damages to arty persons or property eaused <br /> by the use of these pesticides. I waive any claima of liability for damages against the County Depwrtment of <br /> Agriculture based on the issuance of this permit I further understand that this permit may be revoked when <br /> pesticides are used in conflict with the manufacturerrs 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 /> [Forrr►PR-ENF-]25 (Rev.07/92)Pesticide Fnforcemot Branch I <br /> r `Q!t <br /> Permit App)icaat: � "'! F �'I Sipped VVV <br /> ease Print <br /> Title: d Wn�Y-`- Issue Date: l d�► <br /> leas <br /> i <br /> Issuing OfficerIssue Date: <br /> I � <br /> r J . <br />