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SAN JOAQUIN COUNTY <br /> E. HAZELTON AVENUE <br /> STOCKTON, CA 952055 <br /> loice : ( 209 )468-3300 Recorder (NOI ) : ( 209 )468-3300 FAX: ( 209 , 3330 <br /> TRICTED MATERIALS PERMIT PERMIT/OPERATOR I .D. 39-98-390206 <br /> County HQ District : J <br /> 5 �y"^RC33Gf# Expiration Date : 12/31/2000 <br /> 5 E VALPICO Issue Date : 05/18/1998 <br /> CY, CA 95376- <br /> MER ELISSAGARAY Home : ( 209 )832-3252 <br /> 5 E VALPICO Shop: ( 209 )832-2503 <br /> IkCY, CA 95376- Mobile : ( 209)484-7250 <br /> ------------ ------------- ------- ------- --- <br /> -------------------- ------ - - -_____--- <br /> FOR RESTRICTED . MATERIALS PERMITUSEONLY <br /> 16mit Type : Foss . Only [ ] Seasonal [X] Foss . & Use [X] Job [ j <br /> :mittee Type : Q.A. Cert [ ] Ag . FCO [ ] Private App [X] Non-Ag [ ] <br /> required 24 hours prior to application. <br /> hod: Phone [X] Box [X] Person [X] Modem [ j Fax [X] <br /> ---- ----- - <br /> ----------------------------- -- - <br /> ----------------------- <br /> b Pesticide------ Pest( s ) ---- Form_--_ Method( s )------- Applicator( s) <br /> -- --------- -------- ---=----- ----------------- <br /> 0 CHLOROPICRIN Nematode Fumigant Ground PCO iurower <br /> 1 GUTHION Mites Liquid Air Ground PCO Grower <br /> 0 METHOMYL Larvae Liquid Air Ground PCO Grower <br /> 0 METHYL BROMIDE Soil/Stored Fumigant Ground PCO Grower <br /> 0 METHYL PARATHIO Larvae . Liquid Air Ground PCO Grower <br /> 0 ALUMINUM PHOSPH Rodents Fumigant Ground PCO Grower <br /> 100 STRYCHNINE Gophers Bait Ground FCO Grower <br /> 411 PARAQUAT Weeds Liquid Ground PCO Grower <br /> 91 SL'PRACIDE Larvae Liquid Air Ground PCO Grower <br /> W-Ag Use ; <br /> ditions : PW <br /> ,nderstand that this permit does not relieve me from liability for any damage <br /> kpersons or property caused by the use of these pesticides . I waive any <br /> im of liability for damages against the County Department of Agriculture <br /> lbed on the issuance of this permit . I further understand that this permit <br /> Ifbe revoked when pesticides are used in conflict with the manufacturer' s <br /> eling or in violation of applicable laws, regulations and specific <br /> ditions of this permit. I authorize inspection at all reasonable times and <br /> Inever an emergency exists, by the Department of Pesticide . Regulation or the <br /> nty Department of Agriculture of all areas treated or to be treated, storage <br /> 1�ilities for pesticides or emptied containers and equipment used or to be <br /> Id in the treatment . [Form 33-125/x3 . 53 (Rev. 02/16/90 ) Pesticide Enforcement <br /> nch] <br /> `mit Applicant: Sign: <br /> Title : llklJ, Date : S <br /> O1`- 8 /998 <br /> suing Officer : Date : � <br /> 1 <br />