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SAN JOAQUIN COUNTY <br /> 1868 E. HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Office: (209)468-3300 Recorder (NOI ) : (209)468-3300 FAX. (209)468-3330 <br /> ---------------------------------------------- <br /> RESTRICTED MATERIALS PERMIT Permit#• 39-00-3900115 <br /> County HQ District#: D <br /> DELUCCHI , MICHAEL Expiration Date: 12/31/2000 <br /> ` 2795 S HOLLENBECK RD Effective Date : 01/01/2000 <br /> STOCKTON, CA 95205- <br /> MICHAEL DELUCCHI Home: (209)465-0984 <br /> 2795 S HOLLENBECK RD Shop: ( } - <br /> STOCKTON; CA 95205- Fax: <br /> Mobile: ( ) - <br /> Permittee Type Permit Type Possession NOI Method of Submission <br /> ------------- ------------ -------------- -------------------------- <br /> Private App [X3 Seasonal [X3 Poss & Use [X] Phone [X3 Fax [ 7 <br /> Q A Cert C 3 Job [ 3 Poss Only [ 3 Boy. CX3 Modem [ I <br /> Ag PCO C 3 In Person [X] <br /> Non-Ag [ 3 NOI required 24 hours prior to application <br /> Numb Pesticide Pest(s) Form. Method (s) Applicator(s) <br /> ----- --------------- ------------ -------- ---------------- ----------------- <br /> 1051 SEVIN LARVAE Liquid Air Ground PCO Grower <br /> 1061 FURA.DAN NEMATODE Liquid Air Ground PCO Grower <br /> 1360 CHLOROPICRIN NEMATODE Fumigant Ground PCO Grower <br /> 2000 DICAMBA WEEDS Liquid Air Ground PCO Grower <br /> 2301 DI-SYSTON APHID Liquid Air Ground PCO Grower <br /> 2591 THIODAN LARVAE Liquid Air Ground PCO Grower <br /> 3141 GUTHION MITES Liquid Air Ground PCO Grower <br /> 3824 METASYSTOX-R APHID Liquid Air Ground PCO Grower <br /> 3830 METHOMYL LARVAE Liquid Air Ground PCO Grower <br /> ` 4782 THIMET APHID Granules Air Ground PCO Grower <br /> ****** PESTICIDES CONTINUED ON NEXT PAGE ****** <br /> Non--Ag Use: <br /> Conditions: Q.L.),P <br /> I 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 manufacturer' s <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 use,` <br /> in the treatment. [Form PR-ENF-125 (Rev. 07/92) Pesticide Enforcement Branch] <br /> Permit Applicant: ie_tt��� ��GC f'l8n Signe <br /> Title: ' __ Date: (22 _ <br /> Issuing Officer: , Date: ! ' ��� 60 <br /> L <br />