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' o •ut e SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br /> 2101 E EARHART AVE, SUITE 100 <br /> STOCKTON, CA 95206 <br /> Office: (209) 953-6000 Fax: (209) 953-6022 <br /> . - p • Email: stocktonag2@sjgov.org Web: �.co.san-joaquln.ca.us/agcomm <br /> RESTRICTED MATERIALS PERMIT: 39-15-3900139 <br /> ' Operator: FERRARI FARMS #3900139-2015-Version: 5 <br /> 17071 E BAKER County District#: D <br /> ' LINDEN, CA 95236- Issued on: Dz-.' <br /> Valid as of: //!/!G AP <br /> Agent: FERRARI, GREG Expires on: 12/31/2C feow <br /> ' Primary Phone: <br /> Alternate Phone: <br /> Mobile Phone: ( ) <br /> ' Fax: <br /> Certified Applicator: FERRARI, GREG M Phone: <br /> 5885 ARCHERDALE RD License#: 3997117 <br /> ' LINDEN, CA 9526 Expiration: 12/31/2015 <br /> Type of Use: Agricultural Use Notices Of Intent required 24 hours <br /> ' Pesticide Possession: 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, O,W See condition detail for <br /> code descriptions. <br /> ' Regulatory Notes: <br /> P,Q,W,Z <br /> --------------------------------------------------------------------------------------------------------------------------------------- <br /> ' I 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. <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 /> 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: (i 1 ✓ aV �id o i <br /> ' (Name&Lille) , <br /> Applicant Signature: Date: <br /> r <br /> ' Issuing Offic r: Date: <br /> Page 1 <br />