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` SAN JOAQUIN COUNTY <br /> I <br /> 1868 E. HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> if=iCe ; ( 209 )468-3300 ao0order (NOW : ( 209 )468-3300 FAX; ( 209 , 0330 <br /> 6 <br /> ESTRICTED MATERIALS PERMIT PERMIT/OPERATOR I .D.An, . ;;39 9;8, 39'0206 <br /> County HQ District <br /> SSACARAI�r:," <br /> So, BE?' Expiration Date 12/31/2000 <br /> Issue Date : 05/18/1998 <br /> RACE'', CA 95376 <br /> OGER ELISSAGARAY Home . ( 209 )832-32.72 <br /> X505 E VALPICO Shop: ( 209 )832-2503 <br /> , RACY, CA 95376- Mobile : ( 209)484-7250 <br /> FGR RESTRICTED`MATERIALS PERMIT 'JSE ^vNLIr <br /> ormit Type : Poss . Only [ Seasonal [X] Poss. & Use [X] Job [ ] <br /> ermittee Type : Q.A. Cert [ Ag . PCO [ Private App [k] Non-Ag [ ] <br /> , 'OI required 24 hours prior to application. <br /> ethod- Phone [X] Box [X] Person [X] Modem [ ] Fax [n] <br /> umb� Pesticide --- -Pests) - Fora;. Method( s ) Applicator( s) <br /> 360 CHLOROPICRIN Nematode Fumigant. Ground PCO Grower <br /> 141 GUTHION Mites Liquid Air Ground PCO Grower <br /> 830 METHOMYL Larvae Liquid Air Ground PCO Grower <br /> 850 METHYL BROMIDE Soil/Stored Fumigant Ground PCO Grower <br /> 940 METHYL PARATHIO Larvae , Liquid Air Ground PGG Grower <br /> 840 ALUMINUM PHOSPH Rodents Fumigant Ground PCO Grower <br /> 540 STRYCHNINE Gophers Bait Ground PCO Grower <br /> 6011 ,PAFAQUAT Weeds Liquid Ground PCO Grower <br /> 6891 SUPRAC IDE Larvae Liquid Air Ground FCO Grower <br /> 10n-Ag Use : <br /> � 'onditions : PW <br /> Wunderstand that this permit does not relieve me from liability for any damage <br /> .o persons or property caused by the use of these pesticides . I waive any <br /> .laim of: liaability for damages against the County Department of Agriculture <br /> cased on the. issuance of this permit . I further understand that this permit <br /> imy be revoked when pesticides are used in conflict with the manufacturer ' s ' <br /> , .abeling or in violation of applicable laws , 'regulations and specific <br /> onditions of this permit . I authorize inspection at all reasonable times and <br /> 1 henever an emergency exists , by the Department of Pesticide Regulation or the <br /> Kounty Department of Agriculture of all areas treated or to be treated, storage <br /> I acilities for pesticides or emptied containers and equipment used or to be <br /> ;sed in the treatment . [Form 33-125/v3 . 53 (Rev. 02/16/90 ) Pesticide Enforcement <br /> + <br /> ;ranch] <br /> "ermit Applicant : �.° G Sign: "rT <br /> Title : IC Date : J <br /> issuing Officer: /7' Date : OP- /f - Apys <br /> N <br />