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L . SAN JOAQUIN COUNTY %,/ <br /> 1868 E. HAZELTON AVENUE <br /> STOCk,'TON, CA 95205 <br /> Office: (209)468-3300 Recorder (NOI ) : (209)468-3. 0 ( 09)468_3330 <br /> a•' ____________________________________________________________ <br /> RESTRICTED MATERIALS MATERIALS PERMIT Permit#: 39-00-3903187 <br /> County HQ District#: C <br /> ` GREEN FARMS � <br /> Expiration Date: 1zl31l2000 <br /> 30324 E LONE TREE RD Effective Date 6 2D <br /> OAkDALE, CA 95361- <br /> RICK GREEN Home: (209)848-0401 <br /> 30324 E LONE TREE RD Shop: (209)848-0401. <br /> r, OAKDALE, CA 95361- Fax : <br /> Mobile: (209)985-3930 <br /> Permittee Type Permit Type Possession NOI Method of Submission <br /> ` -------------- -------------- -------------------------- <br /> Private App [X] Seasonal [X] Poss & Use [X] Phone [X] Fax [X] <br /> 0 A Cert [ ] Job [ ] Poss Only [ ] Box [X] Modem [ ] <br /> Ag PCO [ ] In Person [X] <br /> Non-Ag [ ] NOI required 24 hours prior to application <br /> r Numb Pesticide Pest(s) Form. Method(s) Applicator(s) <br /> ------ --------------- ------------ -------- ---------------- ----------------- <br /> 1051 SEVIN LARVAE Liquid Air Ground PCO Grower <br /> 1061 FURADAN NEMATODE Granules Air Ground PCO Grower <br /> 3590 LINDANE LARVAE Liquid Ground PCO Grower <br /> 3940 METHYL PARATHIO LARVAE Liquid Air Ground PCO Grower <br /> 4491 ORDRAM . WEEDS Granules Air Ground PCO Grower <br /> r 4640 ALUMINUM PHOSPH RODENTS Fumigant Fumigate PCO Grower <br /> 5030 PROPANIL WEEDS Liquid Air Ground PCO Grower <br /> 7860 MCPA, DIMETHYLA WEEDS Liquid Air Ground FCO Grower <br /> 9801 2,4-D AMINNE WEEDS Liquid Ground PCO Grower <br /> ` 16011 PARAQUAT WEEDS Liquid Air Ground PCO Grower <br /> ****** PESTICIDES CONTINUED ON NEXT PAGE #**# <br /> Non--Ag Use: <br /> Conditions: POV <br /> ------------------------------ <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 /> 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 empti containers and equipment used or to be user <br /> L in the treatment, o Lm/R XEM�(Rev. 07192) Pesticide �Enforcement Branch] <br /> Permit Applicant. �a-L. Sign: n , � f r� IrLfhe�l.� <br /> Title: Ezell-11- Date: <br /> Issuing Officer: Date: <br /> � CT— <br />