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6. <br /> SAN JOAQUIN COUNTY <br /> 1808 E . HAZELTON AVENUE a0k <br /> LSTOCKTON, CA 95205 <br /> web UP.L : www. co . san-ioaquin . ca . usiageomm <br /> E-Mail : <br /> LOffice : ( 209 ) 468-3300 Recorder (NOI ) : 1209 ) 468-3300 FAX: f209146 -33330 <br /> RESTRICTED MATERIALS PERMIT PERMIT # : 39-02-3902017 <br /> County HO District # : J <br /> BE7LA VISTA FARMS Expiration Date : 12:31f20� <br /> 2:3577 MOUNTAIN HOUSE PKIII7Y Effective Date - <br /> TRA(2z, C9537E-9724 <br /> �I CHAP.LES JF: SPATAFORE Home: (209 ) 6 5-�?01 <br /> Y` 23577 MOU14TAIN HOUSE' PKWY Shop : (209 ) ::35-1; ��1 <br /> TRACY. CA 95376-9724 Fax: <br /> Mobile ( )------------ <br /> L <br /> -- - - <br /> Permittee Type Permit Type Possession NCI Method of Submission <br /> ------ ----------r- -------------- -------------------------- <br /> Private App IXI Seasonal IXI Poss & Use f X I Phone IXC Fax IXC <br /> Q A Cert ; ! Job I I Pose Only I I BOX I I Modem 1X1 <br /> Ag, PCO ) E In Person Ian web <br /> Nan-Ag I I -----_1402-required-24-hours prior-to-application. <br /> Non-Ag Use: None <br /> Conditions : PQ2 <br /> I understand that thi : permit do s net relieie-rne from liability for any damaga <br /> to persons or property= caused by the use of these pesticides I waive any <br /> claim of liability for damages against the County Department of Agriculture <br /> Lt-ased on the issuance of this permit I further understand that this permit <br /> may be revoked when pesticides are used in conflict with the ma.nufacturer 's <br /> labeling or in violation of applicable lawe , regulationa- and specific <br /> conditions of this permit . I authorize inopection at all reasonable times and <br /> L *he—ever an emergency exists , by the Department of Pesticide F:egulation or the <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 u=,r+c: <br /> in the treatment . [Form PR-ENF-125 (Rev. 07:92 ) Pesticide Enforcernent Bran <br /> e <br /> +� <br /> Permit Applicant : __- e � brig . _ <br /> Title : _�7GUn� ✓ Issue Date : <br /> lasuing Off1Ca1- : _ _ c IS3ue Date . ---.._ <br /> Page 1 <br /> L <br /> L <br /> L <br /> L <br />