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LSPSS JOAQUIN COUNTY Yk <br /> 1868 E . HAZELTON A✓ENUE <br /> ` STOCKTON. CA 95205 <br /> LWeb UP.L.WVW . co . san-joaquin . ca. usfagcomm <br /> Mail <br /> office : (209 ) 401-3300Recorder (_,;O_ ) . ( 209) 4 _83300 FAX: (209 )468-3330 <br /> of <br /> --------------------------------------------------------------- <br /> RESTPICTED MATERIALS PERMIT PERMIT 4 : 39-02-3902114 <br /> LCounty HQ District 4 : J <br /> Expiration Datm : 12:31!200 <br /> 'r;-_ MING-WILLIAMS - ;- <br /> 33690 K�OS�TER RD Effective Date <br /> TRACY, CA 953,6- �/`1F/�P.Zz <br /> L <br /> ROBERT WILLIAMS Home : ( 209) 835-2792 <br /> 33605 KOS ER RD Shop ! ( 209 )835-2792 <br /> TRACY. CA 95375- Fax. <br /> Mobile (E_OB) 601-3909 <br /> r --------------------- <br /> L - <br /> Permittee Type permit-Type- --_'__session- NOI-Method-of-Submission <br /> - <br /> - ! <br /> Private App (XI Seasonal (XJ Pose & Use (XI Phone IXI Fax f-- <br /> Job i I Poss only I I Box I I Mode I <br /> Q A Cert i - In Person IXI '.deb I I <br /> LA3 PCO I i NOI required 24 hours prior to application. <br /> Nan-Ag I I ----------------- <br /> G Non-Ag Use: None <br /> Conditions: PQZ <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 off - this permit . I further understand that this permit <br /> may be revoked when pesticides are used in conflict with the manufacturer s. <br /> labelingorin violation of applicable laws, regulations and specific <br /> conditions of this permit . I authorise inspection at all reasonably 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 Enorcemep n\hl <br /> Permit Applicant : -Gloys ��\`t S sign: <br /> billy Zao2 <br /> Title : 2KI Issueue Date: <br /> Lath : <br /> iss <br /> Issuing Officer: . <br /> D/ <br /> Page 1 <br />