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SAN . OAQUIN COUNTY <br /> ' 2101 E EARHART-SME 1.00 <br /> STOCKFON, CA 95206- <br /> web:v a.co.san loagmca.usfagcomm <br /> ` r Office: (209)953-6000 Faso: (209)953-6022 Recorder(N0I`s): (249)453-4009 <br /> F <br /> AF.,TRTC'TFD MATYRTAT S PF..RMTT <br /> Pemif Wirmher• 39-13-3904346 <br /> MAVFR MARVThJ <br /> �, Gu�mtt*Disttrict#: F <br /> 49RO F WOOTYRRTT'( RT) <br /> Egpiratiarr Date: December 31,2013 <br /> ACAMPO CA 457.20 <br /> Ef€ecfiue Date- <br /> F! <br /> afe: <br /> t �r'I()6 <br /> MARK MAYFR Home Phone: ( .0577 <br /> 70U77 N TiWY 90 Shap Phone: (7001169-0577 <br /> ACAh'IpCI CA 017.7.00796 Mobile Phone: (700) 37.9-3414 <br /> Fax: <br /> Fj" <br /> Permittee Type: Private Applicator N01 Me&cd of Svbmiss tm <br /> Peru Type: Seasimal Phone: Y Fag: X Box: <br /> Possession: Possession &Use In Person: X Web:X <br /> N01 required 24 hours firm to awlication- <br />� N <br /> I " <br /> I See end of permit for <br /> Conditions: A CTWP-L3,P, I <br /> code descriptions. <br /> ------------------------------------------------- <br /> I <br /> ..._.----------_,..—.__.._--_.......—_-------....___..,.----_---..._—_. ----- - <br /> I unds-stmd tl'+at this pamait does not relieve me from liability for any damagestnanypmam ar prapez t•1 caused <br /> by the use of these pesticides I waive any claims of liability for damages against the County DePartment of <br />"IF Agriculture based m the issuance of this permit. I further understand that this pa=t may be revoked when <br /> pesticides are used in conflict with the manufacturer's labeling or in violation of applicable lavas,regutlatimis and <br /> sperafic ccnditims of this permit I authorize inspection stall reasanable tunes and whenever an emergency exists <br /> rj� <br /> by the Department of Pesticide Regulation or the Canty Department o€Agriculture of ail areas treated or-to be <br /> treated,storage facilities for pesticides or a Vtied corstainers and equipmeyt used or to be used in the trealmers <br /> I have considered altanstive5 and mitigation measles pursuant to Title 3,California Code of Regulations,section 6426. <br /> Taking into account economic,environmental,social,and technological factors,I have adopted those that are feasible <br /> F1and would substantially lessen any significsnt adverse impact on the environment. <br /> [Form FR-ENF-125 (Rea. 11106)Pesticide Enforcement Branch] <br /> Permit Applicant `fir S - �`1>✓�4- _ <br /> + (', (Rease print) <br /> Title: Issue Date: <br /> (Rea r74 <br /> Issuing Officer: V—z <br /> issue Date: <br /> F,' <br />