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SAN JOAQUIN COUNTY <br /> 2101 E EARHART_ SUITE 100 <br /> STOCKTON, CA 95206- <br /> Web:www.co.san-joagirincauslagcomm 4P <br /> Office: (709)953-6000 Fax: (709)953.6027 Recorder(NOI's): {209}953-6000 <br /> OPFR ATOR T1IFNTMC-A TTC)N NTTRMFR <br /> PTRFS ANTONTD Oneratnr Mentificatirm 0- 39-09-3909057 <br /> _ 71200 LACK TONR RT) County District# F <br /> ACAMPO CA 95770 Expiration Date: December 31,2009 <br /> Effective Date: 7 <br /> 0 SCi a°I <br /> ANTCNTt7 PTRFS Home Phone: <br /> 71R00.TACK TOW RT) Shop Phone: <br /> ACAMPC) CA MM Mobile Phone: <br /> Fax: <br /> ,. Permittee Type: Ni on-Certified <br /> Conditions: <br /> ------------------------------------------------- <br /> I understand this operator idainfimon tuanber does not relieve me from liability for any damage to persons or propa-tj caused by <br /> the use of pesticides I admowledge that duly authQized representatives fi-orn he Count+Department of Agriculture or the <br /> Department of Pew dde Reg:lation mol, at reesmable times,enter end inspect field:, areas,strurtn-es,greenhouses and equipment <br /> .. (including protective clothing and equipment)where pesticides are handled, stored or applied(ref. 3 CCR 6149), <br /> Permit Applicant Signed: / 7 / <br /> _ t'Aease Pritrt} <br /> Title: Issue Date: <br /> ease <br /> Issuing Officer � Issue Date-- hb.3 /C <br /> wee t <br />