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SAN JCAQUIN CC'-'NT`! Aoc <br /> 1865 E . HAZELTCN AVENUE <br /> STC=CN. CA 951.05 <br /> Web URL :www. co . san-joaquin . ca . us,1agcomm <br /> E-mail : <br /> Office : ( 209 ) 468-3300 Recorder (NCI ) : ( 209 ) 468-3300 FAX: ( 209 ) 468-3330 <br /> ------------------------------------------------------------------------------- <br /> OPERATOR/SITE IDENTIFICATION NU-iv[BER CPERATCR/SITE I .D. 9 : 39-02-3900138 <br /> County HQ District # : <br /> LEONARDO. JOHN Expiration Date : I2,131,12002 <br /> 1332 W BEVERLY Effective Data : 03,106/2002 <br /> TRACY, CA 95376- <br /> JOHN LEONARDO Home: ( 209 ) 335-2180 <br /> 1332 W BEVERLY Shop : ( ) - <br /> TRACY, CA 95376- Fax: <br /> Mobile <br /> Permittee Type Permit Tvpe Possession NCI Method of Submission <br /> -------------- ------------ -------------- -------------------------- <br /> - Private App I { Seasonal I j Poss & Use IXI Phone I j Fax <br /> Q A Cart I I Job { ( Poss Only I { Box i t Modem I I <br /> ,fig PCO IXI In Person I Web I { <br /> Non-Ag j j NOI required 24 hours prior to application <br /> Non-Ag Use : None <br /> - Conditions : <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 /> 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 used <br /> in the treatment . [Form PR-ENF-125 (Rev. 07/92 ) PesticideEnforcement ranch] <br /> Permit Applicant : /� �1h�li� h�J' Sign : <br /> Titles : ► �`` Issue Dat <br /> Issuing Officer : ) Issue Date : G <br /> Page 1 <br />