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6. SAN JOAQUIN COUNTY <br /> 3,868 E . HAZELT014 AVENUE <br /> sTOCKTON, CA 95205 <br /> 6. Web URL :www. co .san-joaquin . ca . us/agcomm <br /> E-mail : <br /> Office : ( 209 ) 468-3300 Recorder (NOI ) : ( 209 ) 468-3300 FAX: (209 )468-333.0 <br /> RESTRICTED MATERIALS PERMITPERMIT # 39-02-3900115 <br /> County Hg District # : D <br /> 'r <br /> DELUCCHI , MICHAEL Expiration Date : 12/31/2002 <br /> 2795 S HOLLENBECK RD Effective Date : 01,101/!9-39+ <br /> ?J&2 <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 /> -------------------------------------------- <br /> Permittee Type Permit Type Possession-- NOI Method of Submission <br /> ___________ -------------------------- <br /> -- ------------ ------------ <br /> ` Private App IXI Seasonal IXI Poss & Use IXI Phone IXI Fax I I <br /> g A Cert I I Job I I Poss Only I I Box IXI Modem I I <br /> Ag .P Co I I In Person IXI Web I I <br /> ` Non-Ag I I ------- ---------------NOI-required 24 prior to application <br /> Non-Ag Use : None <br /> " Conditions : Q,U,P, Z <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 used <br /> inthe treatment . [�FAorm PR-ENF-125 (Rev. 07/92) Pesticide Enforcement ranch] <br /> Permit Applicant : / '/ r�+�AC.4S2_ :�' r i Sign : <br /> Issue Date : ��^3?- <br /> Title: <br /> r <br /> Issuing Officer : Issue Date : <br /> Page 1 <br /> V <br />