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ORIGINAL <br /> ' sok c SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE 0 <br /> °c 2101 E EARHART AVE, SUITE 100 <br /> U, / r� STOCKTON, CA 95206 <br /> ' s Office: (209) 953-6000 Fax: (209) 953-6022 <br /> c•.;_-- • P Email: stoCktonag2@sjgoV.org Web: �,cosan-joaquin.ca.us/agcomm <br /> RESTRICTED MATERIALS PERMIT: 39-12-3903311 <br /> ' Operator: TRIPLE S FARMING/S-K RANCH #3903311-2012-Version: 3 <br /> 17350 FRONT STREET County District#: C <br /> LINDEN, CA 95236 Issued on: q-5-t?— <br /> t Valid as of: 14-5—(Z <br /> Attention: SUNBURY,TIM Expires on: 12/31/2014 <br /> Home Phone: <br /> ' Office Phone: <br /> Mobile Phone: <br /> Fax: <br /> ' Type of Use: Agricultural Use <br /> Notices Of Intent required 24 hours <br /> Pesticide <br /> Possession and Use prior to application of pesticide <br /> Possession: containing restricted materials <br /> Permit Duration: Seasonal <br /> Employees Handle Pesticides <br /> Conditions: A, P, Q, O,W See condition detail <br /> ' for code descriptions. <br /> Regulatory Notes: <br /> --------------------------------------------------------------------------------------------------------------------------------------- <br /> I understand that this permit does not relieve me from liability for any damages to any persons or property caused by the <br /> use of these pesticides. I waive any claims of liability for damages against the County Department of Agriculture based <br /> ' on the issuance of this permit. I further understand that this permit may be revoked when pesticides are used in conflict <br /> with the manufacturer's labeling or in violation of applicable laws, regulations, and specific conditions of this permit. I <br /> authorize inspection at all reasonable times and whenever an emergency exists by the Department of Pesticide <br /> Regulation or the County Department of Agriculture of all areas treated or to be treated, storage facilities for pesticides or <br /> ' emptied containers and equipment used or to be used in the treatment. I have considered alternative and mitigation <br /> measures pursuant to Title 3, California Code of Regulations, section 6426. Taking into account economic, <br /> environmental, social, and technological factors, I have adopted those that are feasible and would substantially lessen <br /> any significant adverse impact on the environment. <br /> ' [Form PR-ENF-125(Rev 11/06)Pesticide Enforcement Branch] <br /> ' Applicant: Irl e5ve)bury y-nukl rma�a5er <br /> (Named&TUe) <br /> Applicant Signature: /�'7 /' Date: 0`�l Dry ' D t z <br /> ' Issuing Officer: Date: 2a-30-[ z-- <br /> 1 <br /> ' Page 1 <br />