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SAN TC]AQUIN COUNTY <br /> 1868 E,T-LkZELTON AVENUE <br /> STOCKTON, CA 95205- <br /> F; rnail: Web:www.co.san-joaquin.ca.uslageomrra <br /> Office:(209)458.3300 Fax: (249)465.3334 Recorder(NOI`s): (209)468.3300 <br /> RFS RICT DATE'RIALS PERMIT <br /> ROUND VALLEY RANCHES PermitNumber; 39-08-3904457 <br /> P O BOX 885 County Distriet it, F <br /> VICTOR, CA 95253 117xpiratiort Date: Deecemb%�!r 31, 1008 <br /> Effective Date: Janu�6 <br /> (Z_Z966 <br /> JONATPLAN IEnIORE Home Phone, (2 39)359-0,805 <br /> 11.5 N SCHOOL, ST SUITE 5 Shop Phony:: (209)369-6805 <br /> LODI, CA 95240-- Mobile Phone. <br /> Fax: (209)369-9832 <br /> Pertxfttee T ve: Private Applicator NOI Mesad of Submi&L un: <br /> Penuit Type: Seasonal Phone: X Fax: X Box: X <br /> Possession: pgrw�-'131on &Hsp In Person: X Foden: X Web: X <br /> NOI reel€sired 24 hours prior to application. <br /> Conditions; A,P,Vit,G'fP-R:3,GV4P-1 3 <br /> See end of permitfor <br /> Code de wipti ohs, <br /> I understand that this permit dog not relieve me from liability for_•any damages to any persorir or property cared <br /> by tfae use of these pesticides. I waive any claims of liability for damages against the County Depaitmetst of <br /> Agriculture based on d-ie iasuuvi e of this permit. F[Luther undea-stand that this permit maybe rev oked when <br /> p.�Aicides are used in conflict with the maaufact�wer`s Labeling�.A-in violation of applicable laws,regulations mad <br /> specific conditions of thio pea-mit, I authorize inspection at all reasonable times and whenever an emergency exists <br /> by thc Department of Pesticide Regulation car the County Department of Agriculture of all areas treated or to be <br /> treated.,-Lorage facilities for pesticides or empti ed containers and equipment u-sed or to be used in the treatment. <br /> [1~orn-i PIS.-E1F-125 (Rev. 07/47-)Pesticide Enforcement Brand] <br /> (Please print <br /> Title: Issue Date: <br /> l ease Print <br /> Issuing Offi ff- : __ Issue Date: <br />