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L+ti1V J#'t YU1i-%, 1'Uu 1Vi i <br /> 2101 E FARHART. SUITE 100 <br /> STOCK—FON, CA 95206- <br /> ;xreb a a.cu.sar-ioaq n.ca.us a„cozrm <br /> Office: (200)9,3-5000 Fax: ;209}953-6012 Recorder:2dwI's-,: 1209/953-600 <br /> RESTRICTED MATFRIAT S PERMIT <br /> MRT.T OR R.ANCFT R PermitNumher- 34-09-39W310 <br /> P 0 ROIZ 794 County District 9: 11 <br /> T.TKDF.N CA 957.36 Expiration Date: December 31, 2009 <br /> EffecMveDate: Janna-n,? 1, 2ooQ tt <br /> RRTAINT T %M T.OR Home Phone <br /> P 0 RON 794 Shop Phone: <br /> T.TNTDF.N CA 957 T6 Mobile Phone: <br /> Fax: <br /> Permittee Tcgte: Private Applicator NOI Method of Submission: <br /> Permit Type: Reacnnal Phone: Y Fax: F Box: <br /> Possession Possession & Use In Person: V Web:X Modem <br /> NOI reuuired 24 fours urior to anulication. <br /> Conditions: A,P,Q N See end of permit for <br /> code descriptions. <br /> -------------------------------------------------- <br /> ”` I-nder and the this permit does not relieve me from liability for any damages to any persons or property cause- <br /> by the use of fYiese pesticides I waive any claims of liability for damages against the County Department of <br /> Agriculture based on the issuance of this pe-mic I further mde-stand that this permit may be recited when <br /> pesticides are used i;conflict with the manufacturer's labeling or in violation of applicable laws,regulations and <br /> specific cc riditions of this permit I ai thori,-=insneciior,at all reasmab1e timE-s n d wherever an ernergen cy exists <br /> by the Department of Pesticide Regulati or,or the Country Department of Agriculture of all areas treated or to be <br /> treated,storage facilities for pe:ticides o emptied container arid a-quipmatt used or to be used i;the treannerd. <br /> I have considered alternlives and mitigation rmeasres pursiant to Title 3,California Code of Repilaticas,sectio,b426. <br /> Taking into account economic,environmental, social,and technol4cal factors,I have adopted those that are feasible <br /> and would sro-Tantially lessen any significant adverse impact or,the environment. <br /> �- [Form FR-ENF-125 (Rev. 11/00) esticide EnfscPn t Branch] <br /> LZIP — <br /> Permit Applic t S Signed: vaoe <br /> TAease Pritrt` <br /> Title: Issue Date: <br /> Issuing Offic Issue Date: <br /> � 1niFP I <br />