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�. SAN JOAQUIN COUNTY <br /> 1868 E. HAZELTON AVENUE UO J <br /> STOCKTON, CA 95205 <br /> Office : (209)468-3300 Recorder (NOI ) : ( 209)468-3300 FAX : ( 20-, _ J-3330 <br /> -------------------------------------------------- <br /> RESTRICTED MATERIALS PERMIT Permit# 39-01-3904123 <br /> County HQ District#: E <br /> DELTA PACKING Expiration Date : 12/31/2001 <br /> 6021 E KETTLEMAN LN Effective Date <br /> LODI , CA 95240- <br /> LEEMAN METTLER Home : ( 209)334-1023 <br /> 6021 E KETTLEMAN LN Shop: ( } - <br /> -LODI , CA 95240- Fax : <br /> Mobile: <br /> _permittee Type Permit Type Possession NOI Method of Submission <br /> -------------- ------------ -------------- -------------------------- <br /> Orivate Apo [ ] Seasonal [X] Poss & Use [X ] Phone [X] Fax [ ] <br /> I A Cert [ ] Job [ ] Poss Only [ ] Box [ ] Modem [ <br /> -Ag PCO [ ] In Person [X ] <br /> Non-Ag [ X] NO! required 24 hours prior to application <br /> -,Vumb Pesticide Pest( s) Form. Methcd ( s ) Applicator(s ) <br /> ----- --------------- ------------ -------- ---------------- ----------------- <br /> 1051 SEVIN LARVAE Liquid Air Ground PCO Grower <br /> 3141 GUTHION MITES Liquid Air Ground PCD Grower <br /> 3850 METHYL BROMIDE SOIL/STORED Fumigant Fumigate PCO <br /> 5540 STRYCHNINE GOPHERS Bait Ground PCO Grower <br /> L6011 PARAQUAT WEEDS Liquid Ground PCD Grower <br /> Jon-Ag Use : <br /> conditions : PWZ <br /> i understand that this permit does not relieve me from liability for any damage <br /> to persons or property caused by the use of these pesticides. I waive any <br /> :laim of liability for damages against the County Department of Agriculture <br /> used 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 /> '.abeling or in violation of applicable laws , regulations and specific <br /> :onditions 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 /> Zacilities for pesticides or emptied containers and equipment used or to be used <br /> .fn the treatment. [Form PR-ENF-125 (Rev . 07/92) Pesticide Enforcement Branch] <br /> 'ermit Applicant: /7/&v Sign : ���s�✓ /�� <br /> Title: Date : / ",/,41 ^ V� <br /> Issuing Officer: Date : i AaA�- <br />