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SAN JOAggUIN COUNTY <br /> 1868 E. HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Office : ( 209) 468-3300 Recorder (NOI ) : ( 209 )468-3300 FAX: ( 209 )468-3330 <br /> 4iESTRICTED MATERIALS PERMIT PERMIT/OPERATOR Z .D. #: 39-99-3902017 <br /> County HQ District # : J <br /> 3ELLA VISTA FARMS �� y.� rt fd�✓S Expiration Date: 12/31/1999 <br /> X3577 <br /> S LAMMERS RD Issue Date : 02/22/1999 <br /> TRACY, CA 95376- 772,$' <br /> LL HARLES JR SPATAFORE Home: (209 )835-2701 <br /> �d7�88 Shop: ( 209 )835-2701 <br /> TRACT, CA 95376- Mobile: ( ) - <br /> ------------------------------------------------------------------------------- <br /> L FOR RESTRICTED MATERIALS PERMIT USE ONLY <br /> Permit Type : Foss . Only ( ] Seasonal [Xj Poss. & Use [X] Job [ j <br /> Dermittee Type : Q.A . Cert [ ] Ag . PCO [ j Private App [Xj Nor.-Ag ( j <br /> 640I required 24 hours prior to application. <br /> Method: Phone [X] Box [Xj Person (X] Modem [ ] Fax [XI <br /> ------------------------------------------------------------------------------- <br /> L7umb Pesticide ----- Pest(s ) <br /> ----- Form_--- Method( s )------- Applicator( s) <br /> ----- ---------- ----------------- <br /> 200AMITROLE Weeds Liquid Ground PCC Grower <br /> 051 SEVIN Larvae Liquid Air Ground FCC Grower <br /> 360 CHLOROPICRIN Nematode Fumigant Ground PCO Grower <br /> 2000 DICAMBA Weeds Liquid Air Ground FCO Grower <br /> 1301 DI-SYSTON Aphid Liquid Air Ground PCO Grower <br /> L141 GUTHION Mites Liquid Air Ground FCO Grower <br /> 3830 METHOMYL Larvae Liquid Air Ground PCO Grower <br /> 3850 METHYL BROMIDE Soil/Stored Fumigant Ground PCO Grower <br /> f' {782 THIMET Aphid Liquid Air Ground PCO Grower <br /> X840 ALUMINUM PHOSPH Rodents Fumigant Ground PCO Grower <br /> 5540 STRYCHNINE Gophers Bait Ground PCO Grower <br /> L260 ZINC PHOSPHIDE Rodents Bait Ground PCO Grower <br /> 860 MCPA, DIMETHYLA Weeds Liquid Air Ground PCO Grower <br /> 9801 2 , 4-D AMINE Weeds Liquid Air Ground PCO Grower <br /> Pesticides continued on next page <br /> +on-Ag Use : <br /> onditions: PQ <br /> L`I understand that this permit does not relieve me from liability for any damage <br /> o persons or property caused by the use of these pesticides . I waive any <br /> claim of ii.ability for damages against the County Department of Agriculture <br /> ; lased on the issuance of this permit . I further understand that this permit <br /> 6aa7 be revoked when pesticides are used in conflict with the manufacturer' s <br /> labeling or in violation of applicable laws , regulations and specific <br /> ^onditions of this permit . I authorize inspection at all reasonable times and <br /> +henever an emergency exists , by the Department of Pesticide Regulation orthe <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 <br /> zsed in the treatment. [Form 33-125Jv3 . 53 ( Rev. 02/16/90 ) Pesticide Eiforceme t. <br /> Lnranch] <br /> permit Applicant : �' O r Sign: <br /> L Title : 41.#7 Date : <br /> Issuing Officer : ,y,+: Date : <br /> Z /S9S <br /> V <br /> L <br />