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p,ou N SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE / <br /> 2101 E FARHART AVE, SUITE 100 <br /> a STOCKTON, CA 95206 <br /> s ''K Office: (209) 953-6000 Fax: (209) 953-6022 <br /> • a•., �e • Email: stoektonag2@sjgov.org Web: w'+wcosan-joaquin.ca.us/agcomrn <br /> SL/FON <br /> RESTRICTED MATERIALS PERMIT: 39-12-3900340 ® ITIAL <br /> Operator: GV FARMS #3900340-2012-Version: 1 <br /> P-O. BOX 317 County District* I J-L <br /> HOLT, CA 95234 Issued on: 1-2-7-Jo' .? S C. - <br /> Validasof: t-a'—'"'a <br /> ----- Attem-tLon.-VtERRA-:GEORGE----- -- - — Expires on:-12/31/2012--------- <br /> Home Phone: <br /> Office Phone: <br /> CA Mobile Phone: <br /> Fax: <br /> Type of Use: Agricultural Use <br /> Notices Of Intent required 24 hours <br /> Pesticide Possession and Use prior to application of pesticide <br /> Possession: containing restricted materials <br /> Permit Duration: Seasonal <br /> Conditions: A, P, Q, O See condition detail <br /> for code descriptions. <br /> Regulatory Notes: <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. <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: eo eI e <br /> (Name&In e r J <br /> Applicant Signature: Date: <br /> Issuing Officer: Date: <br /> Page 1 <br />