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¢,a �2602 <br /> SAN JO.,NQ IN COUNTY <br /> 1.S 5 8 E° . HAZPLTOb AVENUE <br /> STOCKTON; CA 95205 <br /> Web URLwww. co . san-j oaquin . ca . us/agcomm <br /> Of five : ( 209 ) 468-33013 Reicorder (NOT ) : (209 ) 468-3300 FAX: ( 209 ) 468-3330 <br /> 6PERAs"CIR/SITE 1DENTIFICATIOIN N JEER OPERATOR-,'SITE I 9060-4 <br /> Couhty HQ Di&tridt C <br /> PO RK ' <br /> MELODY R I IGUEE:kzpiraii,bn .;Date :. _12f31;/2602 ' <br /> 700 .S FEWITTLRD. Effective D:at6 O4,/02,/2bb2 <br /> LINIDDEE7, G- 95236 <br /> IVIELOPY R03DR I GUE Z Home , 2098865504 <br /> Eli <br /> . 700 S . HEWITT 'RD She1 <br /> LIHDE4, , CA 95236 Fax: <br /> Mobile <br /> Por-mi t tee Type Perfni t Type <br /> Fossesaion iIo3 method of submission <br /> r vate�App" ] eas�iriai ( - [ P ' _8S U�Le �: phone - -.�__-_ _ �_ ._ <br /> _rivAtrt- , j <br /> -, j Sob <br /> 1 I (moi doss only f Eos. ( Modem <br /> rrr 1 ! <br /> Aq PtO Ix i In Person E wed ' I' <br /> Non Ag --- ; NOT required 24 tiaur�_p� ibr to application <br /> ------------------------------- - -- <br /> ------------------ --------------- ----E <br /> ---- <br /> mon-Ate Use : pest pr�s€sn ce <br /> C <br /> onditions : No- Conditions <br /> ----------------------------------- - ---------- <br /> �I undarstan�l t - relieve xr� liabii ity fo <br /> - <br /> 7-7 �-- <br /> hat this permit 'doe, not from an�r�dam�Ge. <br /> I�toµporS'ins dr pt6perty cawed toy tho u. .ei 'the'e ,esti,.^ides. I waive. aril <br /> claimof liability for damages against they County Department of Agriculture <br /> r-based' an the issu.ai ce of this permit . I further understand that this; permit <br /> may be revoked when pesticide's are used in conflict with the manufacturer' s <br /> f ,labeling. or. . n violation of appli,cab.le lawn, regulations and specific <br /> condition- of tris'. permit . 1 authorize inspection at all reasonable times and <br /> (""�he�-tpver. an emergency exists, by the Department of pesticide" Rleg'ulatioft or the <br /> ounty ,Depar tkLe-nt of Agriculture of all areap- trc�ated or to , be treat9d, s.toragE? <br /> facilities -'for` pesticides or, empt.i'ed conta ners arc? equipmerft used or to be ueed <br /> in the tieatment . [Farre PR-EI-4F--125 (Rev : 0'7,'92 ) Pesticide Enforc€�men.t Branch] <br /> �'ttD l�a �z. _ g <br /> er�r�it applicant.: Si n : <br /> il <br /> - I� s Date : <br /> 1' t <br /> e . 0 � Iu-�tt�, �� „e o� <br /> ' v <br /> �.; Iesuiri; Officer : Issue Date <br /> PaCF0 3, <br /> fj <br /> F. <br />