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SAN JOAQUIN COUNTY <br /> 1868 E. HAZELTON AVENTUE -too,/, <br /> STOCKTON, CA 95205- <br /> E-rrfail: Web:www.co.san-joa4uin.ca.us(agcomm <br /> Office: (209}468.3 300 Fax: (209)468-3330 Recorder(W01 s): (209)468-3300 <br /> RESTRICTED MATERIALS PERMIT <br /> KLEIN RANCH OPEIVFHORNTON Permit plumber: 39-06-3904364 <br /> P 0 BOX 7424 County District#: G <br /> STOCKTON, CA 95207- Expiration Date: December 31, 20CA/ <br /> Effective Date: <br /> EUGENE CASALE Home Phone: (209)931-6337 <br /> P 0 BOX 7424 Shop Phone: (209)956-8800 <br /> STOCKTON, CA 95207- Mobile Phone: (209)403-0002 <br /> Fax. <br /> Penilittee Tripe: Private Applicator NOI Method of Submission: <br /> Permit Tape: Seasonal Phone: X Fax: X Box: X <br /> Possession: Possession Sc. Use lri Person: X Modern: W;:b: <br /> NOI required 24 hours prior to applicatic:r. <br /> Coilditious: A. ,Q1 R See end ufpermit fcr <br /> code descriptions. <br /> ------------------------------------- ---------- --- <br /> I undtvst id that this •writ dors riot relieve ripe frorrr liabilit for aany-]w -ei to aii' a L-:nes oproperty iced <br /> p ,} f o �'p � ' -' , <br /> by the use of these pesticidcii I waive ariy clairr!s of liabiiity f-w darriat,s ai;1St lir i our>y L'!epattr:irtit of <br /> Agi•iciiiture based kxi the ls;larire of this permit I furiho-tuidti-st d-vi that this per?iiit ir!ay be revoked:c htn <br /> pesticides arr used iri corifli t with the niar!ufacturrzi•'s labeling or ui violaric i of auplic_dbie laws,regulatun:s and <br /> sir>_ifit <br /> col <br /> 1diticnis of this permit. I authcrize itisprAicYi st all r•e'ascYisble tirf!CS:fid wlitl!tL'c1 iIl aTl y��tiyt <br /> by the Departmeit of Pesticide Regulati.xi or the Ccxrnt jt Deparurierit of Agt•iculture of all areas treated ot-to be <br /> tt'eated,Storage facilities for pesticides or aiiptieJ arid e,Iuipttiait.use",or to be useJ in tie tri-aLiierit. <br /> [Fc:irrri PR-ZN-F-125 (Rev. 07!92)Pesticide&acii-Celitelit Eit%nidi j <br /> ` <br /> Permit AApplicant: �v e � Si-„Died: <br /> (Please Pnntj <br /> Title: I_,su;: Dste: <br /> r rase <br /> Print) <br /> D <br /> Issuing Officer. Issue Date: I 4 <br /> d <br />