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Lion-Ag UeC : NOne <br />C.ndition.e: NO Conditions <br />rlive or an <br />da <br />I understand that this paused does <br />a�ofetheme pe tm liabiicideslityI waiveyanymaJe <br />`ta perso;;_r v oproperty Y the use <br />claim of liability for damages against the county Department of AgriculermI <br />based on the issuance of this permit. I further understand that this permit <br />may be revoked when pesticides• are used inconflict <br />withulations and ropeluiact•t:rer'c <br />labeling ,_r in violation of applicable laws, reg <br />"eonciition_ _€ this parrrtit. I autY;uriYc in`Pactiun at all reasonable times he <br />whenever an am._,rgencv exists, by the Department of Pesticide F.enulation or the <br />C:crunty P.eceartment of Agriculture of all areas treated or to be treated.-t'jr'a_IP <br /><acilitic for nt ofcides or emptied containers and equipment used or to be <br />Lfn Ude iet-rs trctent. (Ford PR --125 (Rev. 07192) Pesticide Enfor-cerrtenr, Branch; <br />sign 7.+A ® -1 <br />Lz:�rmit F:pE_�lit_ant:: ), �•3 ----- <br />�^[,�,[�� _ Issue Date: <br />Tir,le: . <br />LC /1��f2-sem Ioaue nate: L---- D3 <br />Izauinr Officer: <br />Pa,xe 1 <br />L <br />L <br />SAN JOAQUIN c:AVEN <br />1868 E. HAZELTON AVENUE <br />6. <br />>TOCI:TON . CA 95205 <br />web f_IRL : www . co . sall-- j oagtl i n <br />. ca . uE,;Xa4J Comm <br />L= -Mail <br />Recorder (NOI ) (21 ' 09')466-3";00 FIs:?,: (2o9)Ac.3--33 0 <br />J- 6 9 <br />r --==OPERATOF• SITE I.D. <br />SITE IDENTIFICATION <br />2dUMB=':: Cuut,t.y HQ <br />District #: C <br />`rgcz.^i"�.,T;. <br />EXpiration Date. Ili 1. <br />DE RCUSI:E, "EITH <br />E€€ective Date . 01 <br />L 4 3 4 5 _. HENRY ROAD <br />a( <br />FAR.MII•I"u"i GN , CA 9 `i 2 3 1) <br />Home. (203:3'5-4{'Qf% <br />6' F_EITB DF P.OUSSF. <br />shop. <br />S,345 S . HEiauY ZZDiS <br />Fax: <br />FARMINGTCM. CA. 95230 <br />Mobile 20999110435 <br />�--- <br />Type Pus:se=_i'•31x <br />NOI Methoduf--i`i- <br />r typ-e Pernit <br />_-.ln-l-tt-a-2- <br />._---- -----_-- <br />-v- - ------------ <br />Saxa <br />--------------- <br />lYl Pass 8Use ( <br />Phone I 1 Fax <br />Mode rn <br />�ui1tUp <br />1.Pass <br />Sob <br />( Only <br />Bo- ( i <br />web t <br />� Cart 1 <br />L.k3 PCO i X I <br />DIOL required <br />In Person <br />24 hours prior <br />to application <br />Noix-Ag -------- <br />------ ------------------------------------- <br />--- <br />Lion-Ag UeC : NOne <br />C.ndition.e: NO Conditions <br />rlive or an <br />da <br />I understand that this paused does <br />a�ofetheme pe tm liabiicideslityI waiveyanymaJe <br />`ta perso;;_r v oproperty Y the use <br />claim of liability for damages against the county Department of AgriculermI <br />based on the issuance of this permit. I further understand that this permit <br />may be revoked when pesticides• are used inconflict <br />withulations and ropeluiact•t:rer'c <br />labeling ,_r in violation of applicable laws, reg <br />"eonciition_ _€ this parrrtit. I autY;uriYc in`Pactiun at all reasonable times he <br />whenever an am._,rgencv exists, by the Department of Pesticide F.enulation or the <br />C:crunty P.eceartment of Agriculture of all areas treated or to be treated.-t'jr'a_IP <br /><acilitic for nt ofcides or emptied containers and equipment used or to be <br />Lfn Ude iet-rs trctent. (Ford PR --125 (Rev. 07192) Pesticide Enfor-cerrtenr, Branch; <br />sign 7.+A ® -1 <br />Lz:�rmit F:pE_�lit_ant:: ), �•3 ----- <br />�^[,�,[�� _ Issue Date: <br />Tir,le: . <br />LC /1��f2-sem Ioaue nate: L---- D3 <br />Izauinr Officer: <br />Pa,xe 1 <br />L <br />L <br />