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SAN JOAQUIN COUNTY <br /> ` 1868 E. HAZELTON AVENUE <br /> STOCKTON, CA 95205 2000 <br /> Office: (209)468-3300 Recorder (NOI ) : (209)468-330 (209)468-3334 <br /> ------------------------------------------------------------ _----------- <br /> RESTRICTED MATERIALS PERMIT Permit#. 39-00-390304' <br /> County HQ District#: C <br /> .. BRUMLEY & SONS Expiration Date: 12/31/2000 <br /> 13381 ESCALON BELLOTA RD Effective Date 3 - I$-Zcbti <br /> ESCALON, CA 95320- <br /> DON BRUMLEY Home: (209)836-2135 <br /> 133381 ESCALON BEL.LOTA RD Shop. (209)838-2135 <br /> ESCALON, CA 95320- Fax : <br /> Mobile: (209)479-0287 <br /> ------------ <br /> ----------------------------------------------------------------- <br /> Permittee Type Permit Type Possession NOI Method of Submission <br /> -------------- ------------ -------------- -------------------------- <br /> Private App [X3 Seasonal [X3 Pass & Use [X3 Phone [X3 Fax GX] <br /> Q A Cert [ I Job [ ] Foss Only [ ] Box 1X3 Modem E <br /> Ag PCO [ 3 In Person [X3 <br /> ` Nan-Ag [ I NOI required 24 hours prior to application <br /> Numb Pesticide Pe-t(s) Form. Methad(s) Applicator(s) <br /> ----- --------------- ------------ -------- ---------------- ----------------- <br /> 200 AMITROLE WEEDS Liquid Ground FCO 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 /> 3850 METHYL BROMIDE SOIL PESTS Fumigant Ground FCO Grower <br /> 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 PGG Grower <br /> 5030 PROPANIL WEEDS Liquid Air Ground PCO Grower <br /> 5540 STRYCHNINE GOPHERS Bait Ground PCO Grower <br /> ***fit* PESTICIDES CONTINUED ON NEXT PAGE <br /> Non-Ag Use: <br /> Conditions: PQVW <br /> v <br /> - ------------------------------------------------------------------------ <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 of this permit. I further understand that this permit <br /> r 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 uses <br /> in the 'treatment. [Form PR-ENF-125 (Rev. 07/92) Pesticide Enforcement Branch) <br /> r pp r� <br /> Permit Applicant: oCCIIC 0t �Jrcx:a�lF� Sign: <br /> Title: GwNFt-' Date: <br /> Issuing Officer: _����Gvy� Date: f% rI3O <br />