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2002 <br /> SAN JOAQUI�I COUNT <br /> 1868 E . HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Web URI. :www. co . san--j oaquin . ca . us,ragcomrct <br /> E-mail . <br /> Office : ( 209 ) 468-3300 Recorder (NOI ) : ( 2091468--330CE FAA: ( 209 ) 468-3330 <br /> -------------------- --------- <br /> PaSTRICTED MIATERIALS PERMIT PERMIT # : 39-02-3900146 <br /> County HO District # : D <br /> FLOR, DINO Expiration Date : 12{/31,,12002 <br /> P O FYOX 567 Effective Date _ <br /> LINDEN, CA 95236- <br /> y/-;i//b�. <br /> �. DINO FLOR Home : <br /> ( 209 ) G87-3407 <br /> P O BOX 567 <br /> Shop : ( 209 ) 887-3075 <br /> LINDEN, CA 35236- Fax: <br /> Mobile <br /> _,Permittee Type Permit Type Possession NOI Method of Submission <br /> -------------- ------------ --•------------ -------------------------- <br /> Private APF Ihl Seasonal jXi Poss & Use jXj Phone 1Xj Fax jXj <br /> d A Cert j I Job j j Poss Only I I Bol- j X j Modem jXj <br /> —Ag PCO I I In Perron IXj Web I i <br /> Non-Act I I NOI re=quired 214 hours prior to application <br /> Non-Ag Use : None <br /> Conditions : PQWZ <br /> QC#142M6 <br /> I understand that this permit does not relieve me from liability for any damage <br /> to persons or proz,art. caused by the use of these pesticides . I waive anv <br /> claim 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 /> may be revolted when pesticides are used in conflict with the manufacturer ' s <br /> labaling 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 /> County Department of Agriculture of all areas treated or to be treated, storage <br /> facilities for pesticides or emptied containers and equipment used or to be used <br /> —in the treatment . [Form PR-ENF-125 (Rev . 07:-92 ) Pesticide Enforcement Branch; <br /> Permit Applicant : Sign : <br /> T Title : Issue Date : �` (;t � <br /> Issuing Officer : Issue Date : <br />