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SAN JOAQUIN COUNTY Ze U <br /> 1868 E. HAZELTON AVENUE <br /> r STOCK:TON, CA 95205 <br /> Office: (209)468-3300 Recorder (NOI ) : (209)468-3300 FAX : (209)468-3330 <br /> 6,-=STRICTED MATERIALS PERMIT Permit#: 39-00-390015.3 <br /> County HQ District#: D <br /> JGAZI , JOHN A Expiration Date: 12/31/2000 <br /> X7400 E HIGHWAY 26 Effective Date : 01/31/2000 <br /> LINDEN, CA 95236- <br /> rOHN A FUGAZI Home: (209)887-2147 <br /> 17400 E HIGHWAY 26 Shop: (209)887-2147 <br /> INDEN, CA 95236- Fax: <br /> Mobile: ( )401-7699 <br /> Permittee Type Permit Type Possession NOI Method of Submission <br /> ------------- ------------ -------------- --------- <br /> 1-rivate App [XI Seasonal EX] Pass & Use [XI Phone EX] Fax EX] <br /> 0 A Cert E I Job E I Pass OnlyE i Box EX; Modem EXI <br /> g FCO E I In Person EXI <br /> . on-Ag E I NOI required 24 hours prior to application <br /> 'tumb Pesticide Pest(s) Form. Method (s) Applicator(s) <br /> ---- --------------- ------------ -------- ---------------- ----------------- <br /> *?0i AMINO TRIAZOLE WEEDS Liquid Ground PCO Grower <br /> 1051 SEVIN LARVAE Liquid Air Ground PCO Grower <br /> 061 FURADAN NEMATODE Liquid Air Ground PCO Grower <br /> . 360 CHLOROPICRIN NEMATODE Fumigant Ground PCO Grower <br /> 1811 DASANIT SOIL PESTS Granules Ground FCO Grower <br /> 1.000 DICAMBA WEEDS Liquid Air Ground PCO Grower <br /> '301 DI-SYSTON APHID Liquid Air Ground PCO Grower <br /> 7,141 GUTHION MITES Liquid Air Ground PCO Grower <br /> 1590 LINDANE LARVAE Liquid Air Ground PCD Grower <br /> .624 METASYSTOX-R APHID Liquid Air Ground FCO <br /> ****** PESTICIDES CONTINUED ON NEXT PAGE #**#** <br /> Non-Ag Use: <br /> ;onditions: Q,W,P, <br /> ------------------------------------- <br /> understand that this permit does not relieve me from liability for any damage <br /> '.0 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 /> )ased on the issuance of this permit. I further understand that this permit <br /> iay 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 /> thenever an emergency exists, by the Department of Pesticide Regulation or the <br /> r ounty 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 /> - <br /> ' n the treatment, [Form PR-ENF-125 (Rev. 07/92) Pesticide E c t Brch] <br /> "Permit Applicant: ��KN t-1 • �uy�1Z Sign: <br /> -� l <br /> Title: ��`- Date-./ - - <br /> Da <br /> Iste; <br /> Issuing Officer: — <br />