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SAN JOAQUIN COUN— 2007 <br /> 1868 E, HAZELTON AVENUE <br /> STOCKTON, CA 95205- <br /> E-mail: Web!www.co.san-joaqui muslagcoran <br /> Office: (309)468.3300 Fax: (209)468.3330 Recorder(NOPs): (209)168.3300 <br /> RESTRICTED MATERIALS PERMIT <br /> LAGORIO J ANMS I Permit Number: 39-07-3900233 <br /> 155 N DUNCAN County District#: D <br /> LINDEN, CA 95236- Expiration Date: December 31, 2007 <br /> Effective Date: January _ <br /> l (� 1C0�7C� ' <br /> JAMES LAGORIO 1 Pic Home Phone: (209)463-7073 <br /> 155 N DUNCAN Shop Phone: ( ) - <br /> LINDEN, CA 95236- Mobile Phone: ( ) - y71 7S7z <br /> Fax <br /> Permittee Type: Primo ApPlicater NOI Method of Submission: <br /> Permit Type: Seasonal Phone: X Fax Box X <br /> Possession: Possession &Use In Person: X Modem Web: <br /> NOI required 24 hours prior to applicatiom <br /> See end of perm@ for <br /> Conditions: AP,Q code descriptions. <br /> — — — — — — — — — — — — — — — — — — — — — — — — — — — - - <br /> I understand that this permit does not relieve me from liability for any damages to any persons or property caused <br /> by the use of these pesticides. I waive any claims of liability for damages against the County Department of <br /> Agriculture based on the issuance of this permit 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 laws,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 emptied containers and equipment used or to be used in the treatment <br /> (Form PR-ENF-123 (Rev. 07/92)Pesticide Enforcement Branch] <br /> Perrot Applicant Rtc�Q �i LA�6r 1'v Signed:�/l <br /> 'P'Iaa�eP V <br /> Title: A.-c,6 , Issue Date: <br /> (PlPrint <br /> Issuing Officer: ea Issue Date: �/�5 <br />