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SAN JOAQUIN COUNTY 2005 <br /> 1868 R HAZELTON AVEN iE <br /> STOCKTON, CA 95205- <br /> E-mail: TNeb:we w.co.san-joaqum.ca.uslage=n <br /> Office: (209)468.3300 Fax: (204)468.3330 Recorder(Mrs): (209)468.33aa <br /> RESTRICTED MATERLUS PERMIT <br /> DELUCCEL MICHAEL Permit Number: 39-05-3900115 <br /> 2795 S HOLLENBECK RD Ceunty District#7 D <br /> STOCKTON, CA 95205- Expiration Date: December 31, 2005 <br /> Effective Date: Jmuary4—,4q9Q _ <br /> (Q/?fn`s <br /> MCHAEL DELUCCHI Home Phone: <br /> 2795 S HOLLENBECK RD Shop Phone: { ) - <br /> STOCKTON, CA 95205- Mobile Phone: (209)479-6333 <br /> Fax <br /> Permittee Type: Private Applicator NQI Method of Submission: <br /> Permit Type: Seasonal Phone: X For. Box X <br /> PossessiotL Possession &Use In Person: X Modem: Web: <br /> NOI required 24 hours prior to application. <br /> — <br /> Conditions: A,F,Q,U See end of permit for <br /> code descriptions. <br /> ` I understand that this permit does not relieve me from liability for any damages to any persons or property caused <br /> by the use of these pesticides. I waive any claims of liability for damages against the County Department of <br /> Agriculture based on the issuance of this permit I further understand that this pen-nit maybe revoked when <br /> pesticides are used in conflict with the manufacturer's labeling or in violation of applicable laws,regulations and <br /> specific conditions 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 Agriculture of all areas treated or to be <br /> treated,storage facilities for pesticides or emptied containers and equipment used or to be used in the treatment <br /> .. [Form PR-ENF-125 (Rev. 07!92)Pesticide Enforcement Branch) <br /> .� <br /> PermitApplicanCr�rC1ie� P 17/ r r Si ed: l lei <br /> Title: Issue Date: <br /> ( ease P } <br /> iss)n�Of icer: Issue Date: ���� <br />