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SA-INJtiGU1 l�1 a <br /> 1C83 E. HAZELTON AVENUE �0 <br /> (209)468-3300 recorder (NUI (209)468-3300 !"r':n ' (209) 468-333 <br /> pREETRICTOD, MATERIAL0 a f'T PERMIT/OPERATOR 1 .D. 0: 39-98-390013 <br /> County Ho District 0: H <br /> --Mi:.i`,_',fylN,E JIM Expiration Date: 12/3Q2000 <br /> i J_'-_62 E ,•,.=.MSTO�-�K i'D issue Date- � T ,9- vL <br /> T 4 <br /> j♦f1E <br /> STmoi_,€`:TUN, !CA9 521 _�'_ <br /> L <br /> iiOCi.. ON, CA 95215- Mobile )466-2534 <br /> FOR RESTRICTED MATERIALS -Mf. USE <br /> ONLY - <br /> Permit Type; Poss. On1.3�. C ; Seasonal EXI Puss. -. Use =;-- job .- <br /> F <br /> Permittee Type: D.A. Cart Er a Ag . PCO E 3 Pri`>fiate App i_ I Non—Ag L I <br /> QO! <br /> required 24 hours prior to application . <br /> e ttryodF'har!e= I 4 0-_E X;_ P er s.o!i E_E XModem=i Fax <br /> EXI <br /> - <br /> €=iii:b- Pesticide------ Pest(s) <br /> � ( ------ <br /> _ �-__ - r,d]. <br /> Form,--- 1-- i! �.__....T_-- ty-- __ <br /> -------- <br /> ti'�e1 SEVIN LarvaeLarvaeLigij AirGra,rnd PC0 Crr=Wnr <br /> 160 CHLOROPICRIN Nematode Fumigant Ground PCO grower. <br /> Iif11 25 1 Y€ IODAN Larvae Liquid Ground PCO Grower <br /> 141 GUTHION Mites Liquid Air Ground PCO Grower <br /> _ - .. ML ':i0MYL Larvae Liquid Air 6rot_i5d FCC Grows=r <br /> _ _.!« METHYL BF~Lii i= Sail/Stared Fumigant igan'+_ Gr ot.-nd PCO 6rower <br /> F1?40 METHYL fYL PARATHIC Larvae Liquid Ground PCO Grower <br /> 4240 ALUMINUM P stOSPH Rodents Fumigant G t t d PCO Grower <br /> 5540 STRYCHNINE Gophers Bait Ground PCC Grower <br /> f§60 <br /> ZINC PFG:� �I�E Rodents Bait Air Ground ' PCC <br /> Grower <br /> 1 <br /> 2,4--D AMINE Weeds Liquid Air oround PCC Grower <br /> 16011 ]=APAMUA T Weeds Liquid Air Ground PCC Grower- <br /> f116011 <br /> rower-f116011 7UP"AOI.DE Larvae Liquid Air Ground PCC Grower <br /> Non--Ari Use. <br />. "" t�o�tdit iris�s a PQUW <br /> I understand that this permit does not relieve me from liability for any damage <br /> to persons or property caused by the use cif these pesticides. I waive any <br /> claim of liability for damages against. the County Department of Agriculture <br /> based on the issuance of this permit. I further understand that this permit <br /> [Imay be revoked when pesticides .are used in conflict with the manufacturer' s <br /> labeling or in violation of applicant e laws, regulations and specific <br /> conditions of this permit i I authorize inspection at all reasonable times .and <br /> whenever an emergency exists , by the Department of Pesticide Regulation or the <br /> FCounty Department of Agriculture lture of all .areas treated or to be treater;, storage <br /> facilitins for pesticides or emptied containers and equipment used or to be <br /> used in t h_ treatment. Worm =3-12-_/v3 (Rev.. - ijri ) Pesticide Enforcement <br /> !1l I'•`fw:rmi.t Appl :dcanw.,". Sign . ` <br /> Datat <br /> Da <br /> issuing Office; _ I ..: t J 7,k tw w 1, <br />