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SAN JOAQi TIN C"<OUN'ry 2006 <br /> 6. <br /> 1868 E. HAZEL-1 ON A4' TIE <br /> STOC=ON, CA 952105- <br /> E-mail: Web:i�.c,.son-iaac,in,cau:Ja¢c=in <br /> Office' (209)458.3300 Far': (209),458.3330 Recorder QTON): (209)463.3300 <br /> L <br /> RESTRICTED IVIATERIM,S Pl:RAIIT <br /> 6. THOMSEN FARMS Pearn it Number: 39-06-390211€ <br /> 2355 W DURHAM FERRY'RD C'atnity District#: J <br /> 6. TRACY, CA 95304 Rcpiration Date: December 31,22096 <br /> Effective Date: / <br /> €X1'-4�.'=E THOMSEN Home Phone, 1209)M35-3136 <br /> 2355 W DI 1 FFRWV RD Shop 11 one: (209)835-5442 <br /> TRACY, CA 9530!4 Mobile Phone: (209)918-0651 <br /> Fa=x: (209)835-548€ <br /> Pe xiiittee Type: Private AliPlicator NOI lir ethasl of Submiss-10M <br /> Permit Type: Seasonal Phone: X Fax: X Sox: <br /> Possession: Possession & Use In Person: X 1lriodetir Web: X <br /> NOT required 24 hours Poor to application_ <br /> Conditions: A.P,Q <br /> See end of permit fit <br /> code descuptiohz. <br /> — <br /> I u;da�stand that this permit dog not relieve me from liability for any d-adnages to any perscchns or property caused ——— <br /> by the use of these pesticide& I waive any claims of liability for darnages against the County Department of <br /> Agritailaire based on the iasuame of this permit. I further understand that this permit may be revoked when <br /> peaticid-a are used in cm- flictwith the manufactures labeling or in violation of applicable laws,regulations and <br /> �, ar�fic c x lit r s of this pe xrit I authorize inspection at all reasonable time;and whenever an emer-6ency exists <br /> by the Department of Pesticide Regulation or the County Department of Agricultum of all areas treated or to be <br /> treated,s4orage facilities for pesticides or emptied containers and equipment used ce to be used in the treatment <br /> i_ [Form PP-ENF-125 rev. Q7192)Pesticide Enforcement Branch I <br /> �- Penriit Applicant. %�i . rfirr 7 oy�, Spy Signed: <br /> (Pleme Print) <br /> Title: 111,7e15e." Issue Date: <br /> 6. <br /> Issuing, Officer Issue Date: <br /> L <br /> r <br />