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SAN JOAQUIN COUNTY <br /> 1868 E.HAZELTON AVENUE <br /> STOCKTON,CA 95205- <br /> E-mail: Web-www.co.sanjoagui ea udagcomm <br /> Office:(2 09)468.3300 Fax: (109)468-3330 Recorder(NOI's): (109)468.3300 <br /> i <br /> F RESTEMD MATERIALS PERMIT <br /> FUCAZL JOHN A Permit Nmuber: 39-05-3900153 <br /> P O BOX 509 County District#: D <br /> LINDEN,CA 95236- patio Date:. December 31,2005 <br /> Effective Date: J <br /> JOHN A FUGAZI Home Phone: (209)887-2147 <br /> 17400 E HICIHWAY 26 Shop Phone: (209)887-2147 <br /> 11MEN,CA 95236- Mobile Phone: (209 <br /> k FCC ' ---70-7(p4 9 <br /> Permittee Type: Private Applicator NOI Method of Submizsiew <br /> FPeenaat Type: Seasonal Phone: X FMC X BOM X <br /> Possession: Possession dt Use In Person: X Modem: X Web: <br /> NUI rewired 24 hours prior to aupiication. <br /> Condittions: A,P,Q Yj See end of permk for <br /> F code"Sc*koas. <br /> I understand that this permit does not relieve me f am liability for any damages to any persona or property caused — <br /> by the use of these pesticides. I waive any claims of liability for damages against the County Deparunent of <br /> Agriculture based on the issuance of this pen-nit- I further understand that this permit may be revoked when <br /> pesticides are used in conflict with the manufacturer's labeling or in violation of applicable lays,regulations and <br /> specific conditions of this permit I authorize inspection at all reasonable times and whenever an emergency exists <br /> by the Department of Pesticide.Regulation or the County Department of Agriculture of all areas treated or to be <br /> �^ treated,storage facilities for pesticides or ernptied containers and equipment used or to be used in the treatment. <br /> i [Form Pot-ENF-125 (Rev.07192)Pesticide Enforcement Branch] <br /> Pemik Applicant: V o PtL6 -, Sued <br /> (Please Pr/inert y <br /> Title: C� Issue Date: <br /> ase <br /> Issue Officer. Issue Date: <br /> M , <br />