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SAN JOAQUL1 COUNT' <br /> 1868 E. -HAzELTON AVENUE R� <br /> STOCKTON, CA 95205- <br /> E-mail: Web:xsvw:co.san-joagimt.causla0cororn <br /> Office: (209)460..3300 Fax: (209)468.3330 _ Recorder(NO's): (209)458.3300 <br /> RESTRICTED MATERIALS PE+RIAM <br /> Permit l��Irmli.r: 39-04-3910214 <br /> )SRT__? <br /> I..:Limy 1-7?fC-ICSH C <br /> _ 31146 E LONE TREE RD <br /> OAKDALE, CA 95361- Expiration Bate: L%_ceiib-_r 31, 20.04 <br /> Effective Bate: ; , - <br /> f 2-COL; <br /> VHitI'E St"IR-T T� m:'Home Pha {249)847-x516 <br /> 31146 E LONE TREE RD Shop Phone: <br /> OAKDALE,CA 95361- Mob le Phone: (209)6(:£-7959 <br /> Far <br /> Permittee Type: Private Al)plicator NGI Method of StOhmission: <br /> Permit.Type: Seasonal Phone: X Fax X Box X <br /> Possesdon: Possession&Use In Penon: X Modern: Wets: { <br /> NOI required 24 Hours vriorto amilicatioa See ' <br /> Conditions: AP.QRIC`E cod edescnooand of s rnr <br /> - code descrptions� <br /> I miderstand that this permit does not relieve me frim)liability for any dames to aiy persons or property.caused <br /> by the use of these pesticides. I waive any claims of liability for dai-tvages against the Coutity Depart rent of <br /> ?gricukt a based on the issuance of this permit: I further'tmderstand that this permit tray be revoked when <br /> pesticides are used in conflict with the inatwfacturrer's labeling or to violation of applicable laws,regulations aid <br /> a-peciEic cottditioiis of this permit I authorize inspection at all reasonable times and whenever an emergency exists <br /> by the Department of Pesticide Regulation or the County Department of h.-9-iculture of all areas treated or to be. <br /> treated,strxage facilities Fcn•pesticides or�nptied cor.tait:es and equipment used aa-to be used in the t;•va�itent <br /> [Form PR-E TF-I Z5 (P.ev. 07/92)Pesticide Enforcement 3ratich I <br /> PermitApplicarit ///Z!/s/= <br /> Title: /r �/hl� Isme Date: <br /> SS Of&e62_ Ila, <br />