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6. 1868AE .JHAZZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Mice : ( 209)468-3300 Recorder (NOI ) : ( 209 )468-3300 FAX: ( 209)468-3330 <br /> RESTRICTED MATERIALS PERMIT PERMIT/OFERATOR I . D. # : 39-98-3902017 <br /> County HQ District # : J <br /> 4LLA VISTA FARMS Expiration Date: 12/31/1998 <br /> 880 S LAMMERS RD Issue Date : 02/13/1998 <br /> TRACY, CA 95376- <br /> 6iARLES JR SPATAFORE Home : ( 209 )835=2701 <br /> 27880 S LAMMERS RD Shop: (209 )835-2701 <br /> ' :,ACY, CA 95376- Mobile: ( ) - <br /> ----------------------------------------------------------------- <br /> FOR RESTRICTED MATERIALS PERMIT USE ONLY <br /> n=rmit Type : Poss . Only [ ] Seasonal [X] Poss . & Use [X] Job [ ] <br /> 'imittee Type: Q.A. Cert [ j Ag . PCO [ ] Private App [X] Non-Ag [ ] <br /> I required 24 hours prior to application. <br /> Method: Phone [X] Box [X] Person [X] Modem [ ] Fax [X] <br /> ----_------------------------------------------------------------------------- <br /> Lamb Pesticide Pest( s ) Form. Method( s) Applicator( s ) <br /> ----- --------------- ------------ -------- ---------------- ----------------- <br /> 1-30 AMITROLE Weeds Liquid Ground FCO Grower <br /> L351 SEVIN Larvae Liquid Air Ground PCO Grower <br /> 1360 CHLOROPICRIN Nematode Fumigant Ground PCO Grower <br /> 000 DICAMBA Weeds Liquid Air Ground PCO Grower <br /> 1301 DI-SYSTON Aphid Liquid Air Ground PCO Grower <br /> X141 GUTHION Mites Liquid Air Ground PCO Grower <br /> 3830 METHOMYL Larvae Liquid Air Ground PCO Grower <br /> 850 METHYL BROMIDE Soil/Stored Fumigant Ground PGO Grower <br /> w182 THIMET Aphid Liquid Air Ground PCO Grower <br /> 4840 ALUMINUM PHOSPH Rodents Fumigant Ground PCO Grower <br /> 540 STRYCHNINE Gophers Bait Ground PCO Grower <br /> 260 ZINC PHOSPHIDE Rodents Bait Ground PCO Grower <br /> 7860 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 /> iron-Ag Use : <br /> Conditions : PQ <br /> understand that this permit does not relieve me from liability for any damage <br /> to persons or property caused by the use of these pesticides . i waive any <br /> -laim of liability for damages against the County Department of Agriculture <br /> ased on the issuance of this permit . I further understand that this permit <br /> Tlay 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 /> whenever an emergency exists , by the Department of Pesticide Regulation or the <br /> County Department of Agriculture of all areas treated or to be treated, storage <br /> acilities £or pesticides or emptied containers and equipment used or to be <br /> ,.sed in the treatment . [Form 33-125/v3 . 53 (Rev. 02/16/90 ) Pesticide Enforcement <br /> Branch] n <br /> `ermit Applicant : 00�/CLIP r7• Rome'JA- Sign: - �"t0✓'K- <br /> Title : Date : 02-13- 95# <br /> ,..Issuing Officer: Date : 7' J" lcg <br /> w <br />