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SAN JOAQUIN COUNTY J <br /> 1868 E . HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Web URL : www. co . san-joaquin . ca . usiagcomm <br /> E-Mail . <br /> Office : ( 209 ) 468-3300 Recorder (NOI ) : ( 209 ) 468-3300 FAX: ( 209 ) 468-3330 <br /> ----------------------------------------------------------------------- <br /> RESTRICTED MATERIALS PERMIT PERMIT # : 39-03-3904492 <br /> County HQ District # : G <br /> BARBER, ROBERT Expiration Date : 12x31/2003 <br /> 28949 CAMERON RD Effective Date : 01/16/2003 <br /> GALT, CA 95632 <br /> ROBERT BARBER Home : ( 209 ) 794-2175 <br /> 28949 CAMERON RD Shop : ( 209 ) 468-2856 <br /> GALT, CA 95632 Fax : <br /> Mobile <br /> 'Ilermittee Type Permit Type Possession NOI Method of Submission <br /> -------------- ------------ -------------- -------------------------- <br /> z'rivate App IXI Seasonal IXI Foss & Use IXI Phone IXI Fax IXI <br /> Q A Cert 1 1 Job 1 1 Poss Only 1 1 Box IXI Modem IXI <br /> 'fig PCO I I In Person IXI Web I I <br /> Ion-Ag I I NOI required 24 hours prior to application <br /> Ion-Ag Use : None <br /> _'.onditions : PQ <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 /> _)ased 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 /> :onditions of this permit . I authorize inspection at all reasonable times and <br /> vhenever 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 /> Ln the treatment . [Form PF.-ENF(-125 <br /> (Rev. 07Z92 ) Pest icidforcement Branch] <br /> Applicant : ` ' �' Yy/ �V - Si n : <br /> Permit Appl 9 <br /> Title : ©W IV�� Issue Date : _ 3 <br /> Issuing Officer : `-'G Issue Date : <br /> Page 1 <br /> v / <br />