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9 <br /> *t' .� <br /> SAN JOAQUIN COUNTY <br /> 1868 E. HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Office: (209)468--3300 Recorder (NOI) (209)468-3300 FAX: (209)468-3330 <br /> 10 <br /> STRICTED MATERIALS PERMIT PERMIT/OPERATOR I . D. # : 39-97-3902061 <br /> County HQ District # . J <br /> . ELISSAGARAY, ROGER Expiration Date: 12/31/97 <br /> 7855 W VALPICO Issue Date : OL( Q$ Q7 <br /> TRACY, CA 95376 <br /> ROGER ELISSAGARAY Home: (209)832-3252 <br /> 7855 W VALPICO Shop: (209)832-2503 <br /> TRACY, CA 95376- Mobile: (209)482-1105 <br /> -------------------------------------------------- <br /> --------------------------- <br /> FOR RESTRICTED MATERIALS PERMIT USE ONLY <br /> lbrmit. Type: Poss. Only ; ; Seasonal ; X ; Poss. & Use ; X ; Job <br /> IrmiLtee Type: Q.A. Cert ; ; Ag. PCO ; ; Private App ; X ; Non-Ag <br /> 01 required 24 hours prior to application. <br /> thod: phone ; X ; box ; X ; person ; X ; modem ; fax ; X <br /> kumb Pesticide Pest(s)- Form. Metiod(s) Applicator(s) - <br /> �--- ----------- - ----------- --- - -- --- ------------ - ----- ----------- <br /> 1160 CHLOROPICRIN Nematode Fumigant Ground PCO Grower <br /> 41 GUTHION Mites Liquid Air Ground PCO Grower <br /> 30 METHOMYL Larvae Liquid Air Ground PCG Grower <br /> 1950 METHYL BROMIDE Soil/Stored Fumigant Ground PCO Grower <br /> 40 METHYL PARATHIO Larvae Liquid Air Ground PCO Grower <br /> 40 ALUMINUM PHOSPH Rodents Fumigant Ground PCO Grower <br /> [6011 <br /> 40 STRYCHNINE Gophers Bait Ground PCO Grower <br /> PARAQUAT Weeds Liquid Ground PCO Grower <br /> 891 SUPRACIDE Larvae Liquid Air Ground PCO . Grower <br /> r— <br /> n-Ag Use: <br /> onditions: PW <br /> -- ---- ------------ ------- - - - - - -- - - -- - - - -- - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - -- - - <br /> t0aimunderstand that this permit does not relieve me from liability for any damage <br /> persons or property caused by the use of these pesticides . I waive any <br /> of liability for damages against the County Department of Agriculture <br /> based on the issuance of this permit. I further understand that this permit <br /> lay be revoked when pesticides are used in conflict with the manufacturer's <br /> abeling or in violation of applicable laws , regulations and specific <br /> onditions of this permit. I authorize inspection at all reasonable times and <br /> henever an emergency exists, by the Department of Pesticide Regulation or the <br /> 00unty Department of Agriculture of all areas treated or to be treated , storage <br /> .acilities for pesticides or emptied containers and equipment used or to be <br /> ed in the treatment .. [Form 33-125/v3.53 (^Rev . //02/16/90) Pesticide Ejfforcement <br /> emit Applicant - Sign: I&X to <br /> q <br /> Title : Date : t/ 'F- <br /> ? / <br /> Issuing Officer: Date : 8 � <br /> A <br />