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^ <br /> SAN JOAQUIN COUNTY <br /> 1868 E. HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> =ffice: (209)468-3300 Recorder (NJI ) : (209)468-3300 FAX : (209)468-3330 <br /> ESTRICTED MATERIALS PERMIT Permit#: 39-01-3900146 <br /> County HQ District#: D <br /> c <br /> LOR, D�hO Expiration Date: 12/31/2001 <br /> O BOX 567 Effective Date <br /> WNDEN, CA 95236- <br /> ! INO FLDR Home: (209)887-3407 <br /> 0O BOX 567 Shopc (209)897-3075 <br /> LI}!DEN <br /> ' CA 9523&--. Fax : <br /> ============================================================================== <br /> Mrmittee Type Permit Type Possession NO! Method of Submission <br /> -------------- ------------ -------------- -------------------------- <br /> rivate App [X] SoascnaI [X] Poss & Use [X] Phone [X] Fax [X] <br /> APA Cert [ ] Job [ ] Poss Only [ ] Box [X] Modem [X] <br /> Qg PCO Z ] In Person [X] <br /> an-Ag [ ] NO! required 24 hours prior to application <br /> Numb Pesticide Pest(s) Form. Method (s) Applicator(s) <br /> -___ _______________ ____________ -------- ________________ _________________ <br /> }51 SEVIN LARVAE Liquid Air Ground PCO Grower <br /> TAO CHLOROPICRIN NEMATODE Fumigant Ground PCO Grower- <br /> 2301 DP-SYS70N APHID Liquid Air Ground PCO Grower- <br /> 141 GUTHION MITES Liquid Air Ground PCO Grower <br /> -030 'METHOMYL LARVAE Liquid Air Sround PCO Brower- <br /> 3850 METHYL BROMIDE SOIL/STORED Fumigant Ground PCO Grower <br /> 740 METHYL PARATHIO LARVAE Liquid Air Ground PCO Grower <br /> 141 PENNCAP LARVAE Liquid Air Ground PCO Grower <br /> W40 ALUMINUM PHOSPH RODENTS Fumigant Ground PCO Grower <br /> =540 STRYCHNINE GOPHERS Bait Ground PCO Grower <br /> ****** PESTICIDES COKTINUED ON NEXT PAGE ****** <br /> Ttn-Ag Use: <br /> -onditions: PQWZ <br /> - QC#14286 <br /> I understand that this permit does not relieve me from liability for any damage <br /> a persons or property caused by the use of these pesticides. I waive any <br /> : .aim of liability for damages against the County Department of Agriculture <br /> Msed on the issuance of this permit. I further understand that this permit <br /> "'Y be revoked when pesticides are used in conflict with the manufacturer' s <br /> : 'bellng or in violation of applicable laws, regulations and specific <br /> Ywnditions of this permit. I authorize inspection at all reasonable times and <br /> ferever an emergency exists, by the Department of Pesticide Regulation or the <br /> /unty Department of Agriculture of all areal treated or to be treated , storage <br /> Jdcilitles fop pes+iriHes or e-P+i"d cartainmrc art �V00=4t 0c2d or --�- be 700� <br /> in the treatment. [Form PR-ENF-125 (Rev. 07/92) Pesticide Enforcement h] <br /> ' 'rmit Applicant: ~7� I &Jb A- � �� l� Sign : <br /> Title: �- - <br /> ' -- �-' Date: 3- 16 - 0 <br /> ^�ssuing Officer� Date: <br /> � <br />