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SAN JOAQUIN COUNTY u, <br /> 1868 E. HAZELTON AVENUE <br /> STOCKTON, CA 95205- <br /> E-mail: Web:www.co.sm-joaq>h.emuslagcom <br /> Office: (209)168.3300 Fax: (209)68.3330 Recorder(NOPs): (209)468.3300 <br /> RESTRICTED MATERL41S PERMIT <br /> SCHULTZ,VERNE Permit Number. 39-04-3903214 <br /> 31146 E LONE TREE RD County District#: C <br /> OAKDALE. CA 95361- Expiration Date: December 31, 2004 <br /> Effective Date: <br /> 7;Or 1Z_1[ Z��y, <br /> VSE SCHULTZ Home Phone: (209)847-0516 <br /> 31146 E LONE TREE RD Shop Phone: <br /> OAKDALE, CA 95361- Mobile Phone: (209)606-7959 <br /> Fax: <br /> Permittee Type: Private Applicator NOI Method of Submission: <br /> Permit Type: Seasonal Phone: X Fax X Box: X <br /> Possession Possession&Use In Person: X Modem: Web: X <br /> NUI required 24 hours prior to application. <br /> Conditions: AR.QcE See end of permit for <br /> code descriptions. <br /> — — — — — — — — — — — — — — — — — — — — — — — — — — — — — <br /> I understand that this pen-nit 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 /> Apiculture 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 manufacturer's labeling or in violation of applicable laws,regulations and <br /> specific conditions of this permit. I authorize inspection at all reasonable times and whenever an emergency exists <br /> by the Departhnent of Pesticide Regulation or the County Department of Agriculture of all areas treated or to be <br /> treated,stex age facilities for pesticides or emptied containers and equipment used or to be used in the treatment. <br /> [Form PR-ENF-125 (Rev. 07/42)Pesticide Enforcement Branch I <br /> Permit Applicant 4- 1 Suited: `// Y <br /> z <br /> (Please Prmt) <br /> Title: <br /> Issue Date: `� 4'1 <br /> Gr/U+�l�/� � <br /> (Piease Print <br /> Issuiag OfFic Issue Date: <br />