Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> 1868 E. HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Web URL E-mail - <br /> Office ( 209 ) 468-3300 Recorder (NOI ) ( 209) 468-3300 FAX ( 209) 468-3330 <br /> RESTRICTED MATERIALS PERMIT PERMIT # 39-04-3904833 <br /> County HQ District # : F <br /> MCCASLAND, MAUD Expiration Date : 12/31/2004 <br /> 11345 E JAHANT RD Effective Date : <br /> ACAMPO, C:A 95220- 0316 2ov <br /> MAUD MCCASLAND Home : ( 209) 368-3067 <br /> 11351 E JAHANT RD Shop : (209 ) 368-3067 <br /> ACAMPO, CA 95220- Fax: <br /> Mobile <br /> Permittee Type Permit Type Possession NOI Method of Submission <br /> -------------- ------------ -------------- -------------------------- <br /> Private App IXI Seasonal IXI Pose & Use IXI Phone IXI Fax IXI <br /> Q A Cert I I Job I I Pose Only I I Box IXI Modem <br /> Ag PCO I I In Person IXI Web I I <br /> Non-Ag I I NOI required 24 hours prior to applicatior <br /> Non-Ag Use : None <br /> Conditions : PW <br /> ------------ <br /> - I 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 /> claim of liability for damages against the County Department of Agriculture <br /> based on the issuance of this permit . I further understand that thia permit <br /> - may be revoked when pesticides are used in conflict with the manufacturer ' s <br /> labeling or in violation of applicable laws, regulations and specific <br /> conditions 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 /> facilities for pesticides or emptied containers and equipment used or to be use( <br /> in the treatment . [Form PR-ENF-125 (Rev. 07/92 ) Pesticide Enforcement Branch] <br /> Permit Applicant : 024piD /E LEF A (445L,4W L? Sign : <br /> Title : © GIN B'^ Issue Date : 3 Ile" 2-C>t!'2 <br /> Issuing Officer : 1 Issue Date : 2 a u Z <br /> Page 1 <br />