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'JOA01-31"! <br /> -­X FLA EL T`C N-1- <br /> I _Zp_ 10� AV EIN CE <br /> SP (_71'_T' CA 95"0 <br /> mai 77-�­:wmnv.tn-.S an, q.aff- <br /> Til- T,--,T f 4 6? 1_00 <br /> C ---13 <br /> Xf Fax: <br /> R.-EE'SlrRICTED MIVIFIER."FAUL-S PERMIT <br /> n n it IN'€I i bei: `9-U6-3 90.4 at; <br /> H <br /> #:I NY <br /> P 0 BOX 742244 <br /> S T 0 C f 1�T 0 N 95:2 T_ <br /> pit-attion Date: c mn b-e r 3 L 2 0 6 <br /> Effl,!etiv-e Dae: ihmmanzy <br /> JI <br /> KLE12 r'rn Ph - 9`31`3oineonze 12091 <br /> p 01 El 0""C' 7 4 2 41 Shop I'Mon-e- (2 0 9 9 55 6-8 8 0 0 <br /> S-FOC.-KTONT, CA 95 20-7- M-AM"le Phorier (21 G-9)4 0-3-0 IlI : <br /> NO' 11L�v od of` <br /> I-e-ii-ce Tw-e- P 6 a <br /> ae An iicator <br /> MV <br /> Permit W r <br /> pe: 'Saa_q---! P-1holie: ,Ky ax- B,o <br /> J, <br /> P SSe-zS;G!1: 'Plye 'S iM 6t Use <br /> I <br /> P-nson: X mn CIML Web: <br /> NTO!required 24. I-ours imior to sm-LicohiGn- <br /> C <br /> Sea end of pennit for onch"long: k.P,0111 <br /> ——————————————————————-------—- --- — —--———— — <br /> I undo'stand thatt th;s- mait deqot felive me fi-o -iliabilitEw ydamnaae-Lo al- opftv cKiaedem <br /> eS. T I a;ns of 1;abi 1 datnin min the Co.- Dep:artmam, -_f- <br /> by <br /> tine use cifthe�­e peb-tic4d i a;ve any rl 11 L L I i ity fa ge a, <br /> krio-fltim-E,baffoul on Unie isman,ce of UrLis perrj-j�t T fte&Lef-IR-y! _.,;;taLjj_4 tl�jat ffi'g Qe! -I' <br /> .1 li7it tnay be t—ev&red,whkm <br /> pE c des are used ini conflie,wilue die nnanufactin Is labeling or in violatict,cif applicamule la-w s,regullatim wld' <br /> Mc con dit Li <br /> ,T,eH - otu,of thic- L itupc-cion at all <br /> reasu. bie,tiniez,and wh ':t e`an Im-tei-gency -�SLS <br /> by flee Depaitineit of Pegtic-Me Regulati ca-i or die C.4yjnty De-pw-U-nent of Agticult,—re of all areass treated cN.-to..be <br /> M.. treated, ston e facil ities. for peestici des cr emptied connine!-s and Lx-tClbeused intl-iett-e-a-Unial_ <br /> [Fvx-m PR.-ENT-125077/92�N-Aic=deEnfcei ie-it Bm-lich <br /> nmitAw:014- !"k-, ed <br /> L n, <br /> P <br /> won <br /> Ede: AC Iss'- _1�y I - 1- 'p: <br /> L Da <br /> Is'sitim Officer: <br /> Datu: <br />