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SAN JOAQUIN COUNTY <br /> 1868 E. HAZELTON AVENUE :20()/ <br /> STOCKTON, CA 95205 <br /> Office:-(209)468-3300-----Recorder (NOI)_ (209)468-3300 ----- FAX:-(209)468-3330------ <br /> RESTRICTED MATERIALS PERMIT Permit#: 39-01-3903043 <br /> County HQ District#: C <br /> LBRUMLEY & SONS Expiration Date: 12/31/2001 <br /> 30500 E HWY 4 Effective Date <br /> LFARMINGTON, CA 95230-9668 <br /> DON BRUMLEY Home: (209)838-2135 <br /> 13381 ESCALON BELLOTA RD Shop: (209)838-2135 <br /> ESCALON, CA 95320- Fax: <br /> Mobile: (209)479-0287 <br /> Permittee Type Permit Type Possession NOIMethod-of Submission <br /> ------------ <br /> ----- -- <br /> ----- <br /> Private App [X7 Seasonal EXI Poes & Use [Xl Phone 1X3 Fax 1X3 <br /> Q A Cert [ 3 Job [ 3 Poss Only [ 3 Box [X3 Modem EX3 <br /> Ag PCO [ 3 In Person [X3 <br /> Non-Ag [ 3 NOI required 24 hours prior to application <br /> Numb- ------- ------ --- -----_-PesticidePest(s) Form_ Method(s) Applicator(s)---------- <br /> 200 AMITROLE WEEDS Liquid Ground PCO Grower <br /> 1051 SEVIN LARVAE Liquid Air Ground PCO Grower <br /> 1061 FURADAN NEMATODE Liquid Air Ground PCO Grower <br /> 1360 CHLOROPICRIN SOIL PESTS Fumigant Ground PCO Grower <br /> C 3850 METHYL BROMIDE SOIL PESTS Fumigant Ground PCO Grower <br /> L 3940 METHYL PARATHIO LARVAE Liquid Air Ground PCO Grower <br /> 4491 ORDRAM WEEDS Liquid Air Ground PCO Grower <br /> 4840 ALUMINUM PHOSPH RODENTS Fumigant Ground PCO Grower <br /> 5030 PROPANIL WEEDS Liquid Air Ground PCO Grower <br /> 5540 STRYCHNINE GOPHERS Bait Ground PCO Grower <br /> ***.*** PESTICIDES CONTINUED ON NEXT PAGE ****** <br /> Non-Ag Use: <br /> Conditions: PQVWZ <br /> -------------------------------------------------------------------------------- <br /> LI 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 /> Lbased on the issuance of this permit. I further understand that this 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.. used <br /> Lin the treatment. [Form PR-ENF-125 (Rev. 07/92) Pesticide Enforcement Branch] <br /> n .._ V( <br /> xti;r�ila.�t. Apj;Jlcu ail i.: �� �-+r�`� �' 1 Sign. <br /> Title: p W to eye" Date: l 910 t <br /> Issuing Officer: ___ y��" u^^� Date: _ <br />