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op4uly ° SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br /> 2 ori°c 2101 E EARHART AVE, SUITE 100 <br /> STOCKTON, CA 95206 <br /> Office: (209)953-6000 Fax: (209)953-6022 <br /> cgru: ;tom Email: stocktonag2@s]gov.org Web: .co.san-)oaquin.ca.usa9comm <br /> <<FOR <br /> r TnTaT! <br /> RESTRICTED MATERIALS PERMIT: 39-15-3900167 f "-U1 (rlL <br /> ar.— <br /> Operator: SINGH FARMS #3900167-2015-Version: 1 <br /> 577 MICHELETOS WAY County District#: I U <br /> MANTECA, CA 95336 Issued on: <br /> Valid as of: ;--2- aul a <br /> Agent: SINGH, DALJIT Expires on: 12/31/2015 <br /> 4851 S. MAYBECK RD Primary Phone: <br /> STOCKTON Alternate Phone: <br /> CA 95206 Mobile Phone: <br /> Fax: <br /> Type of Use: Agricultural Use Notices Of Intent required 24 hours <br /> Pesticide Possession: Pest Control Business Only prior to application of pesticide <br /> Permit Duration: Seasonal containing restricted materials <br /> Permit Conditions: A, P, Q. B California and Federal restricted See condition detail for <br /> materials shall be possessed, used, code descriptions. <br /> and stored by a licensed Pest <br /> Regulatory Notes: Control Business (PCB) only. Deliver <br /> these materials to PCBs only. <br /> ----------------------------------------------------------------------------------------------------------------------------------- <br /> I understand that this permit does not relieve me from liability for any damages to any persons or property caused by the <br /> use of these pesticides. I waive any claims of liability for damages against the County Department of Agriculture based <br /> on the issuance of this permit. I further understand that this permit may be revoked when pesticides are used in conflict <br /> with the manufacturer's labeling or in violation of applicable laws, regulations, and specific conditions of this permit. I <br /> authorize inspection at all reasonable times and whenever an emergency exists by the Department of Pesticide <br /> Regulation or the County Department of Agriculture of all areas treated or to be treated, storage facilities for pesticides or <br /> emptied containers and equipment used or to be used in the treatment. I have considered alternative and mitigation <br /> measures pursuant to Title 3, California Code of Regulations, section 6426. Taking into account economic, <br /> environmental, social,and technological factors, I have adopted those that are feasible and would substantially lessen <br /> any significant adverse impact on the environment. <br /> [Form PR-ENF-125(Rev 11/06)Pesticide Enforcement Branch] <br /> Applicant: " L ? � n <br /> (Na TNe) <br /> r <br /> Applicant Signature: ( Date: <br /> Issuing Officer: / A Date: t 5 <br /> 1 <br /> Page 1 <br />