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SAN JOAQUIN COUNTY <br /> 1868 E. HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Office; (209)468­3300 Recorder (NOI ) (209)468--33'00 FAX . (209)468-­33130 <br /> RESTRICTED MATERIALS PERMIT PERMIT/OPERATOR I .D . # ; 39--97--3902061 <br /> County -HQ Di5tr'iCt J <br /> ELISS'AGARAY-,-:ROGER Expiration Date: 12/31/97 <br /> 7855 .W VALPICO Issue Date ; et)(( LIS f,7 <br /> TRACY , CA 95376.- <br /> ROGER ELISSAGARAY Home: (209)832-3252 <br /> 7855 :7W VALPICO Shcp. (209)832­2503 <br /> TRACY , CAP 95376.- Mobile; (209')422-1105 <br /> FOR RESTRICTED MATERIALS PERMIT USE ONLY <br /> Permit, Type: Poss. Only i i Seasonal : X : P055. & Use : X : Job <br /> Permittee Type : Q.A. Cert Ag . PCO Private App ; Xj Non-Ag <br /> NOI required 24 hours prior to application. <br /> Method. phorle : X : box X : person : X : miodeffl lax <br /> ------- ---- --- <br /> N u mb -Pesticide Pests) Fol-Fn. Method(5) p P 1 i c a t o r s <br /> 1360 CHLOROPICRIN NematoJe Fu fn i 9 a n t Ground PCO Grower <br /> 3141 GUTHION Mi tes Liquid Air Ground PCO Grower <br /> ,33Grower 830 ME Larvae Liquid Air Ground ou n d PCO <br /> 3850 METVIYL BROMIDE So i I/G to red Fumigant Ground PCO Grower' <br /> 3940 METHYL PARATHIO Larvae Liquid Air Ground PCO Grower <br /> 4840 ALUMINUM PHOSPH Rodents Fumigant Ground PCO Grower <br /> 5540 STRYCHNINE Gophers Bait Ground PCO Grower. <br /> 16011 PARAQUAT Weeds Liquid Grourid POO Grower <br /> 16891 SUPRACIDE La r-vae Liquid Air G rou rid PCO . Grower <br /> - --------- <br /> Non..-Ag Use . <br /> Condi 'L.ions . PW <br /> I understand that t1hi_5 permit does not I-'eli&V5 Me from "Liability Jo-r any damage <br /> to persons or property caused b' y the use of these pesticides . I waive any <br /> claim of liability for damagas against the County Departfmeant of Agriculture <br /> based or') the i55Uar'lCe Of this Permit. I further under-5tafid that this permit <br /> r-iiay be revoked when pesticides are used in (:;oriflict with the manufacturer 's <br /> labeling or in violation of applicable laws , regulations and specific <br /> conditions of this permit . I authorize inspection at all reasonable tines and <br /> L <br /> v4-,eoever an emergency exists, by t1ha Department, of Pesticide Regulation or t1')e <br /> County Deparl-ATIalit Of Agriculture of all areas treated or to be treated , storage <br /> -f ties for pe5tic1.des or emptied containers arid equipment used or to be <br /> used in the treatment.- [Form 13)3­125/v3.53 (Rev . 0-2116190) Pesticidt__ fo r-ernerit <br /> Branch] - *1 )/�,0.11 <br /> Pe rrii-,i t pp I i ca n t,-. 22 4w� z Y Sign: <br /> T i t I e, Gate : <br /> i Ssu i rig Of f ice r ,', Da- Le"' , <br />