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f <br /> SAN JOAQUIN COUNTY <br /> 1868 E. HAZELTON AVENUE <br /> STOCKTON, CA 95205- <br /> pk . <br /> E-mail: Web:www.co.sm-ioaquin ca.udagcornm <br /> l : Office: (209)165.3300 Fax: (209)468.3330 Recorder(NOPs):(209)465.3300 <br /> I <br />{ <br /> RESTRICTED MATERIALS PERMIT <br />� Permit Number: 39-09-3904483ALEXANDER FARMS County District t F <br /> i 18678 N HWY 99 <br /> ACAMPO, CA 95220- Expiration Date: December 31, 2049 <br /> Effective Date: <br /> rANDY ALEXANDER Home Phone: (209)334-9112 <br /> 18678 N HWY 99 Shop Phone: (209)334-9112 <br /> r ACAWO,CA 95220- Mobile Phone: ( ) - <br /> Fax: <br /> Permittee Type: Private Applicator NUI Method of Submissiun: <br /> r Permit Type: Seasonal Phone: X Fax: X Box: <br /> Possession Possession &Use In Person: X Modem X Web: X <br /> NO1 required 24 boars prior to application. <br /> rConditions: A,P,GWP-L2.GWP-L3 <br /> See end of permit for <br /> E code demiptions. <br /> --- _ — ------ _ ----..._.._.. -----._..._.. ---_.--._...------_...-- —_ <br /> I understand that this permit doss not relieve me from..iability 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 />! Agriculture based on the issuance of this permit. I further understand that this permit may be revolted 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 exi <br /> fF by the Department of Pesticide Regulation or the County Department of Agr'iaalbxe of all areas treated or to be <br /> treated,storage facilities for pesticides emptied containers and equipment used or to be used in the treatment. <br /> [Form PR-ENF-125 (Rev. !17/92)Pesticide Enforcement Branch] <br /> r <br /> Pemri#Applicant /4k/%d� � <br /> 77, ease Punt <br /> Title: Issue Date: Z__ <br /> ease Pant <br /> G : <br /> Issuing; Officer Issue Date: <br /> irn <br /> L . <br /> F <br />