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SAN JOAQUIN COUNTY <br /> 1868 E . HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> "Office: (209)468-3300 Recorder (NOI ) : (209)468-3300 FAX : (209)468-3330 <br /> �ESTRICTED MATERIALS PERMIT Permit#: 39-00-3900146 <br /> ~~ County HQ District#: Cl <br /> �LOR, DINO Expiration Date: 12/31/2000 <br /> � O BOX 567 Effective Date : 03/20/2000 <br /> INDEN, CA95236- <br /> ]INO FLOR Home: (209)887-3407 <br /> --P O BOX 567 Shop: (209)887-3075 <br /> LINDEN, CA 95236- Fax : <br /> Mobile: <br /> ~============================================================================== <br /> �Permittee Type Permit Type Possession NO! Method of Submission <br /> -------------- ------------ -------------- -------------------------- <br /> 'rivate App [X ] Seasonal [X] Poss & Use [X] Phone [X] Fax [X] <br /> "t.) A Cert [ ] Job [ ] Poss Only [ ] Box [X] Modem [X] <br /> Ag PCO [ ] In Person [X] <br /> "4'on-Ag [ ] NOI required 24 hours prior to application <br /> Numb Pesticide Pest(s) Form. Method (s) Applicator(s) <br /> ----- --------------- ------------ -------- ------------- ........ <br /> -..,1051 SEVIN SEVIN LARVAE Liquid Air Ground PCO Grower <br /> 1360 CHLOROPICRIN NEMATODE Fumigant Ground PCO Grower <br /> 2301 DI-SYSTON APHID Liquid Air Ground PCO Grower- <br /> 14_1 <br /> rower141 GUTHION MITES Liquid Air Ground PCO Grower <br /> -3830 METHOMYL LARVAE Liquid Air Ground FICO Grower <br /> 3850 METHYL BROMIDE SO` /STORED Fumigant Ground PCO Grower <br /> 3940 METHYL PARATHIO LARVAE Liquid Air Ground PCO Grower <br /> _4840 ALUMINUM PHOSPH RODENTS Fumigant Ground PCO Grower <br /> 5540 STRYCHNINE GOPHERS Bait Ground PCO Grower <br /> S260 ZINC PHOSPHIDE RODENTS Bait Air Ground PCO Grower <br /> ****** PESTICIDES CONTINUED ON NEXT PAGE ****** <br /> 7Aon-Ag Use: <br /> Conditions: PQW QC#14286 <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 /> .zlaim of liability for damages against the County Department of Agriculture <br /> based on the issuance of this permit . I further understand that this permit <br /> nay 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 /> whenever an emergency exists, by the Department of Pesticide Regulation or the <br /> �ounty Department of Agriculture of all areas treated or to be treated , storage <br /> �facilities for pesticides or emptied containers and equipment used or be useH <br /> in the treatment. [Form PR-ENF-125 (Rev . 07/92) Pesticide Enforcement Eit nch] <br /> ermit Applicant , C. <br /> Title Date: <br /> Issuing Officer Date : _ <br /> � <br />