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poutM SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br /> o ,aa- <br /> y'l { °y 2101 EEARHARTAVE, SUITE 100 <br /> STOCKTON, CA 95206 <br /> Office: (209)953-6000 Fax: (209)953-6022 <br /> �dCiFO'Ra`P - <br /> Email: stocktonag2@sjgov.org Web: wvnv-cosanqoaquin.ca.us/agcomm <br /> Vltl'.'isl iia <br /> RESTRICTED MATERIALS PERMIT: 39-14-3900167 <br /> Operator: SINGH FARMS #3900167-2014-Version: 1 <br /> 577 MICHELETOS WAY County District#: I <br /> MANTECA, CA 95336 Issued on: a <br /> Valid as of: -'�-''2-0- —d <br /> Agent: SINGH, DALJIT Expires on: 12/31/2014 <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 /> California and Federal restricted <br /> Permit Conditions: A, P.Q,B materials shall be possessed, used, See condition detail for <br /> 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 /> 1 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. 1 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: <br /> (Name&Tide) <br /> Applicant Signature: �pl�r Date: <br /> Issuing Officer, All c7 Z Fi J Date: <br /> Page 1 <br />