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SAN JOAQUIN COUNTY <br /> 1868 E. HAZELTON AVENUE 770q <br /> STOCKTON, CA 95205- <br /> E-mail: Web:www.co.san-joaquin.ca.usfagcomm <br /> _ Office: (209)468.3300 Fax: (209)468.3330 Recorder(NOI's): (209)468.3300 <br /> RESTRICTED MATERIALS PERMIT <br /> BRUMI EY &. SONS Permit Number: 39-04-3903043 <br /> 30500 E HWY 4 County District#: C <br /> FARMINGTON, CA 95230-9668 Expiration Date: December 31, 2004 <br /> Effective Date: March 15, 2004 <br /> DON BRUMLEY Horne Phone: (209)838-2135 <br /> 13381 E,SCALON BELLOTA RD Shop Phone: (209)838-2135 <br /> F-SCALON, CA 95320- Mobile Phone: (209X79-0287 <br /> Fax <br /> Permittee Type: Private Applicator NUI Method of Subruission. <br /> Permit Type: Seasonal Phone: X Fax X Bwr X <br /> Possession: Possession &.Use In Person: X Modem: Web: X <br /> NOI reouired 24 hours prior to application. <br /> Conditions: A P,QXr-E See end of pe nit fin- <br /> code descriptions. <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> I understand that this permit does not relieve me from liability for any damages to any persons or property caused <br /> by the use of these pesticides. I waive any claims of liability for damages against the County Department of <br /> 44—iculture based on the issuance of this permit. I further understand that this permit may be revoked when <br /> pesticides are used in conflict with the nnanufacbrer's labeling or in violation;A applicable laws,regulaticns and <br /> specific conditions of this permit I authorize inspection at all reasonable times and whenever an emergency exists <br /> by the Department of Pesticide Regulation o•the County Department of Agriculture e of all areas treated or to be <br /> treated,storage facilities for pesticides or emptied containers and equipment used or to be used in the to eat metnt. <br /> [Foran PR-EhTF-125 (Rev. 07/92)Pesticide Enforcement Branch] <br /> Pet ,: 44rpigV2127o e�f3g y w. I E: Signed: �J �E� �?�ti� ✓��� <br /> (Please Print 11 <br /> Title: Cc..,r-n e' r Issue Date: 3 I 5-/ C)q <br /> (Please Print) <br /> Issuing Officer. " . 1 Issue Date: <br /> i <br />