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1 1 • _ <br /> SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br /> °Z 2101 E EARHART AVE, SUITE 100 <br /> y STOCKTON, CA 95206 - <br /> ' Office: (209) 953-6000 Fax: (209) 953-6022 <br /> e•. ? • Email: stocktonag2@sjgov.org Web: �.co.san-joaquinxa.us/agcomm <br /> trFOR� <br /> VR <br /> ' RESTRICTED MATERIALS PERMIT: 39-14-3900236 ADIGINAL <br /> ' Operator: LAGORIO,V&A #3900236-2014-Version: 1 <br /> 14625 E COMSTOCK RD County District#: D <br /> LINDEN, CA 95236- Issued on: j7— 3�M�t3 Valid as of: f — <br /> Agent: LAGORIO,VIC Expires on: 12/31/2014 <br /> Primary Phone: <br /> Alternate Phone: <br /> Mobile Phone: <br /> ' Fax: <br /> Type of Use: Agricultural Use <br /> Notices p Intent required chours <br /> Pesticide Possession: <br /> Possession and Use prior to application of pesticide <br /> ' Permit Duration: Seasonal containing restricted materials <br /> Employees Handle Pesticides <br /> Permit Conditions: A, P,Q, 0,Y,W, B See condition detail for <br /> code descriptions. <br /> Regulatory Notes: <br /> --------------------------------------------------------------------------------------------------------------------------------------- <br /> understand that this permit does not relieve me from liability for any damages to any persons or property caused by the <br /> ' use of these pesticides. I waive any claims of liability for damages against the County Department of Agriculture based <br /> on the issuance of this permit. I further understand that this permit may be revoked when pesticides are used in conflict <br /> with the manufacturer's labeling or in violation of applicable laws, regulations, and specific conditions of this permit. I <br /> authorize inspection at all reasonable times and whenever an emergency exists by the Department of Pesticide <br /> ' Regulation or the County Department of Agriculture of all areas treated or to be treated, storage facilities for pesticides or <br /> emptied containers and equipment used or to be used in the treatment. I have considered alternative and mitigation <br /> measures pursuant to Title 3, California Code of Regulations, section 6426. Taking into account economic, <br /> t environmental, social, and technological factors, I have adopted those that are feasible and would substantially lessen <br /> any significant adverse impact on the environment. <br /> [Form PR-ENF-125 (Rev 11/06)Pesticide Enforcement Branch] <br /> ' Applicant: k� RCA U-U 1 ,L FCA—, <br /> (Name&Title) <br /> tApplicant Signature: Date: <br /> Issuing Offi r: Date: 0,1" /. <br /> 1 <br /> ' Page 1 <br />