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SAN JOAQUIN COUNTY <br /> 1868 E. HAGELT )N AVENUE <br /> _ STOi='KTON, ( A 95205- <br /> Webwww.co.san•j oaquin.c a.uslagcomm <br /> Office: (209)468.3300 Fax: (209)468-3330 Recorder(NOI's): (209)468.3300 <br /> RESTRICTED MATERIALS PERMIT <br /> KLEIN RANCH OPER/ HORNTON Permit Number: 39-07-3904364 <br /> P 0 BOX 7424 County District#: G <br /> STOCKTON, CA 95207- Expiration Date: December 31, 2007 <br /> Efffective Date: January 29, 2007 <br /> ANTHONY PICCAR.DO Home Phone: (209)931-6337 <br /> P 0 BOX 7424 Shop Phone: (209)956-8800 <br /> STOCKTON, CA 95207- Mobile Phone: (209) 603-8512 <br /> Fax: <br /> Peixrrittee T�Tpe: Private Applicator NOI Method of Submission: <br /> Permit Type: Seasonal Phone: X Fax: X Box: <br /> Possession: Possession & Use In Person: X Modem Web: X <br /> NUI required 24 hours prior to applicatiou. <br /> Conditions: A,P,Q <br /> — See end ofpe:mitf0f <br /> cad:descriptions. <br /> ———————————e—————————————————————————————————— <br /> Iunderstand that this permit does not relieve me frau liability for any corrodes to any persons a property caused <br /> by the use of these pesticides, I waive any claims of liability for damages against the County Department of <br /> Agriculture based on the issuance of this permit. I further understand that this permit may be rev&-ed when <br /> pesticides are used in conflict with the manufacurer's labeling o•in violation of applicable lays,res ilations and <br /> specific conditions of this permit. I authorize inspection at all reasonable times and whenever anetnH gency exists <br /> by the Department.of Pesticide Regulation cr the County Department of Agriculture of all areas treated or to be <br /> treated,storage facilities for pesticides or emptied containers and equipmeant used or to be used in the treatment. <br /> I have considered alternatives and mitigation measures pursuant.to Title 3,Calif-xnia Code of Regulations,section 6426. <br /> Taking into account economic,environmental, social, and technological factors,I have adopted those that are feasible <br /> and would substantially lessen any significant adverse impact on the enviranrnent. <br /> .. [Form PR-ENF-125 (Rev. 11106)Pesticide Eafo tient Brancl, ) <br /> Pernvt Applicant /�/T/ffl/�/l /GGq�/� Signed: <br /> (Please Print) <br /> Q <br /> Tide: 1� _ Issuc Date: <br /> (Please Pnnt) �T— <br /> Issuin¢ Officer. 2 Issue Date: <br />