Laserfiche WebLink
SAN J Vf-tgUIN t_O iN1-Y <br /> 1868 E. HAZELTON AVENUE <br /> E STOCKTON, CA 95205 <br /> "eb URL :WWW . a;`o . 2'an--1 o8qui" _ ca . Llor'8,coi"tlm <br /> E-mail : <br /> office : ( 209 ) 468--3300 Recorder (NOI ) : ( 200 468-3300 FAX: ( 203 ) 458-3330 <br /> C�utity HQ District 9 : D <br /> 11C"�ESTRICTED MATERIALS PERMIT---- PERMIT # 39-05-3900506- <br /> " _ ZOL,E??I- M-&-F Expiration Date : 12f`3102005 <br /> 17787 E FRONT Effective Date 0.3.& <br /> LINDEN . CA 95230- (V/,07/�.00_g� <br /> RICHARD ZOLEZZI Home : ( 209 ) 887-3763 <br /> 17787 E FRONT Shop : ( ] - <br /> ! LINDEN, CA 95236-- Fax° - <br /> 1 Mobile ( ) <br /> Permittee Type Permit Type possession NOI Method of Submission <br /> FT! <br /> -Ref---- ---- ------------ -------- ---- -----------------------rivsto Appy IXI Seasonal ixI pass & use ixI Phone 1xi Fax i I <br /> A Cert i i Jobb I i P_3ss only I I Eox [X I Modem I i <br /> Ag PCO I I In Person IX I web I I <br /> Ian-Act I I NOI required 24 .hours, rp iOr to application <br /> ~Non--Aq use ! None- <br /> Fonditione : P ,Q.W, z QAL LIC 37148 <br /> 01 understand-that-this permit does notrelieve mefromliability for any damage <br /> tc persons or property Vaused by the use of these pesticides . I Waive any <br /> claim of liability for damages against the County Department of Agriculture <br /> based can the issuance of this permit . I further understand that this permit <br /> [may be revoked when pesticides are used in conflict With the manufacturer ' s <br /> labeling or in violation of applicable laws , regulations and specific <br /> conditions of this permit . I authorise inspection at all reasonable times and <br /> whenever an emergency exists . by the Department of Pesticide Regulation or the <br /> County Department of Agriculture of all areas treated or to be treated , storage <br /> facilities for pesticides or emptied containers and equipment used or to be used <br /> in the treatment . [Fora, FR-ENF--125 (Rev. 07Y92 ) Pesticide Enforcement Branch] <br /> Permit Applicant , 40-1(_Wh-VL_V ZpLe Sign <br /> Title . ts-� Issue Date . <br /> F ': U_ elf } [ Ivo e Dates' . 7 <br /> f Page ? <br /> [i <br /> Fi� <br /> F <br />