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SAN jOAQUIN COUNTY ;. <br /> L 1868 E. HAZELTON AVENUE41 <br /> STOCKTON, CA 95205 N Z- <br /> Offe:: (209)468-3300 Recorder (NOD: (209)468-:3300 (209)46 330 <br /> ----- ----- --- --- --- , - --- --- --- <br /> ------------ ---------------------------------------- -- --- --- ---- <br /> RESTRICTED MATERIALS PERMIT Permit#: 19-01-390-3214- <br /> County <br /> 9 01-393214County HQ District#: C <br /> ZCHULTZ;,`vE1aNEExp / <br /> Expiration Date: 12 31/2Q01 <br /> 37146 E LONE TREE RD Effective Date : 03/02/2001 <br /> LOAKDALE, CA 95361- <br /> VER.NE SCHULTZ Home: (209)847-0516 <br /> 311.46 E LONE TREE RD mop: <br /> OAKDALE, CA 95361- Fax: <br /> Mobile: (209)606-7959 <br /> LPermittee Type Permit-Type-- Possession --- NOI Method-of Submission-- -- <br /> Private App [X7 Seasonal [X7 P065 & Use [X] Phone 1XI Fax 1X7 <br /> LQ A cert [ I Job I I Pose Only [ 7 Box [ I Modem [ I <br /> Ag pi3O [ 1 In Person [X7 <br /> Non-Ag [ 7 NOI required 24 hours prior to application <br /> LNumb- Pesticide-------Pests)------Form. ---Method(s)- ------Applicator(s)---------- <br /> 1051 SEVIN LARVAE Liquid Air Ground PCO Grower <br /> 1061 FURADAN NEMATODE Granules Air Ground PCO Grower <br /> 3940 METHYL PARATHIO LARVAE Liquid Air Ground PCO Grower <br /> 4491 ORDRAM WEEDS Granules Air Ground PCO Grower <br /> _4840 ALUMINUM PHOSPH RODENTS Fumigant Ground PCO Grower <br /> 5030 PROPANIL WEEDS Liquid Air Ground PCO Grower <br /> 7850 MCPA, DIMETHYLA WEEDS Liquid Air Ground PCO Grower <br /> 9801 2,4-D AMINE WEEDS Liquid Air Ground PCO Grower <br /> L16011 PARAQUAT WEEDS Liquid Air Ground PCO Grower <br /> 19330 THIOBENCARB WEEDS Granules Air Ground PCO Grower <br /> ****** PESTICIDES CONTINUED ON NEXT PAGE ***'•x* <br /> LNon-Ag Use: <br /> Conditions: PQVZ <br /> LI understand that this permit does not relieve me from liability for any damage <br /> to persons or property caused by the use of 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 /> .� may be revoked when pesticides are used in conflict with the manufacturers <br /> labeling or in violation of applicable laws, regulations and specific <br /> conditions of this permit. I authorize 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_ [Form PR-ENF-125 (Rev. 07/92) Pesticide Enforcement Bran h] <br /> Permit Applicant: `J� _7 Sign: <br /> �, GV Date: <br /> Issuing Offi e � Date: 03 <br />