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SAN JOAQUIN COUNT/' <br /> i. 1868 E . HAZELTON AVENUE a�Z <br /> STOCKTON, CA 95205 <br /> Web URL :www. co . san-joaquin . ca . us/agcomm <br /> L E-Mail : <br /> Office : (209) 468-3300 Recorder (NOI ) : ( 209) 468-3300 FAX: ( 209 ) 468-3330 <br /> y„ RESTRICTED MATERIALS PERMIT PERMIT # : 39-02-3903187 <br /> County HQ District # : C <br /> I <br /> L GREEN FARMS Expiration Date : 12/33/2002 <br /> 30324 E LONE TP.EE RD Effective Data : `} }9"r <br /> OAK_DALE, CA 95361- 4 -2 !;7 <br /> ._D <br /> 1 <br /> L <br /> RI CK GREEN Home : ( 209 ) 843-0401 <br /> =0324 E LONE TREE RD Shop : ( 209 ) 848-0401 <br /> OAKDALE, CA 95361- Fax: <br /> Mobile . ( 209) 985-3930 <br /> -------------------------------------------------------------------------------- <br /> ------------------------------------------------------------------------------- <br /> r <br /> Permittee Type Permit Type Possession NOT Method of Submission <br /> -------------- ------------ -------------- -------------------------- <br /> L .Private App IXI Seasonal IXt Pass 6, Use IXI Phone IXI Fax IXI <br /> Q A Cert I I Job I I Poss, Only I I Hose 1XI Modern 1 1 <br /> Ag PCO I I In Person IXI web IXI <br /> Non-Ag I J NOI required 24 Hours priorto application <br /> ------------------------------------------------------------------------------- <br /> ------------------------------------------------------------------------------- <br /> Non-Ag Use: None <br /> Conditions : PQVZ <br /> L <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 /> im' 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 Taws, r'egulation's and specific <br /> 6wconditions of this permit . I authorime inspection, at all reasonable times and <br /> whenever an emergency exists , by the Department of Pesticide Regulation or the <br /> Count_ 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 /> L in the treatment . FFoormp PR-ENF-12x5 (Rev. X0+7/92 ) Pesticide E re/e/menti Branr- <br /> t'c3rmit Applicant : C7���N r���._J Sign : <br /> fr ` Title: 4V tI- issue Date : 2 -' �✓C- ��— - <br /> Issuing Officer : tjr Issues Data : <br /> L <br /> Page I <br /> 6. <br /> L <br /> r <br />