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$car F�G� alaot'5A-5urel�ct � 20 <br /> w Cep n�M IA01an pe pa<f- 02 <br /> d�a r eb�uvvry, zoo3) <br /> web URL :www . co . SC'_ <br /> E-mail Office : ( 209 ) 463-3300 Recorder (I`0I ) . ( 209 ) 4G3--3 00 FA s: ( 209 ) 468-?330 <br /> RES RICI'ED MATERIALS PERMIT - ---- _-__-PERMIT-1 : 39-02-3900351 <br /> County KQ D st r 7 [:t 4 : D <br /> i <br />' PODESTA FARMS, FRED Exp=iration Date : 12i31f2002 <br /> P O BOX 509 , F:f fective Date <br /> LINDEN, CA 95236-- / <br /> MAN— <br /> FRED PODESTA Home : C209 ) i87-3772 <br /> P 0 Box 509 Shop . ( 209 ) 38"-3701 <br /> LINDEN. CA 95235- Fan: <br /> f Mobile . 1209 ) 404-5513 <br /> ✓r C bc! --W5 <br /> ------------ <br /> iPermittee Type Permit Type Pox ession N01 Method of Submission <br /> Private-App IXJ Seasonal IxI Poss & use 1XI Phone 1xi Fax 1 <br /> Q A Cert 11 .lob i 1 Poss Oint;{ 1 i Do=t 1`_>>I Modem <br /> Acv PCO I IIn Person 1 X 1 `pleb I i <br /> Non--Aft I 1 NO! required 24 hours prior to application <br /> Non-Ag Use : None <br /> s' Conditions : Q,F,W,U, Z <br /> E: <br /> p- <br /> I understand that this permit does not relieve me from liability for any damagL- <br /> to persona or property caused by the use of these pesticides . I waive any <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 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 /> 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 uze6 <br /> in the treatment . [Form PR-ENF-125 (Rev. G!Z92 ) Pesticide. Enfo cement S •anch? <br /> c <br /> Permit applicant : sign : _ <br /> Title : Issue Date : —�� <br /> Issuing.; officer ! Issue Date . <br /> Page I <br />