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i <br /> SAN JQAOUIN COUNTY <br /> 3 <br /> 1868 E. HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Office: (209)468-3700 Recorder (NOI ) : (209)468--3300 - FAX : (209)468-773" <br /> REST:'-:TTD MATERIALS PERMIT -Permit#: 39-03-39008221% <br /> County HO Distriot#: H <br /> SGANNAVINO. FARMS Expiration Date: 12/31/2003 s <br /> 5463 '_-.'_ERC{EE RD Eff=ctive Date <br /> STOC"T,N, CA 9521=-_ <br /> RICHARD DAMILANO Home: (209)931-6821 <br /> 5463 CHEROKEE RD Shop: (209)931-3574 <br /> STOCKTON, CA 95215-- Fax; <br /> r --------- Mobile: <br /> Permittee Type Permit Type Possession NOI Method of SubTi«ion <br /> -- ------------- ------------- ---- ----------------- <br /> Private App [X] Seasonal [X] Foss x< Use [X] Phone--.'---[X] Fa:: [X] <br /> O A Cert C Job E ] Poss Only [ ] eon. EX] Modem C ] <br /> Ag FCO [ In Person EX] <br /> Non-Ag [ l NOI required 24 hours prior to application, <br /> Numb Pesticide Pests) Form. Method(s) Applicator(s) <br /> 1051 SEVIN LARVAE Liquid Air Ground PCO Grower <br /> 1360CF!(_^.�'^F.7-_.. ..':: NEMATODE Fumigant Ground PCO Grower <br /> 3141 Cl_---: �N MITES Liquid Air Ground PCO Grower <br /> 3850 ME- � rE SOIL/STORED Fumigant Ground PCO Grower <br /> 4e40 AL' - ^.PH RODENTS Fumigant Ground FCO Grower <br /> 5540 ST'' .: _.; GOPHERS Bait Ground FCO Grower <br /> 6260 ZINL' P1-'OSP-:IDE PODE'�'TS Bait Air Ground FCO Grower <br /> 9801 2,4-D AMINE WEEDS Liquid Ground - FCO Grower <br /> 16011 PARAQUAT WEEDS Liquid Ground PCO Grower <br /> 16691 SUPRACIP,E LARVAE Liquid Air Ground PCO Grower <br /> ****** PESTICIDES CONTINUED ON NEXT PAGE <br /> Nen--Ag Use: - <br /> Ccnditions: PQWZ <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 furtherunderstand that. this permit <br /> may be revoked when pesticides are used in conflict with the manufacturer's <br /> labeling or iri 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 forPesti ' des or emptied containers and equip. n-t'Zk ed or -o be used <br /> in the treatment For F'R-E F-125 (Rev. 07/92) Pest ic' e - o ce B anch] <br /> Permit Applicant: IC-13A^ 1"11AA - S . n . <br /> Title- Date: <br /> Issuing Officer: Date: "VZ _p <br />