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_ SAN JOAQUIN COUNTY <br /> 1868 E. HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Office : (209)468-3300 Recor-ler (NOI ) (209j468-3300 FAX . (209)468-3330 <br /> RESTRICTED MATERIALS PERMIT PERMIT/OPERATOR I .D. 39-97-3904674 <br /> County 1111. District F <br /> V&V FARMS Expiration Date : 11-2- <br /> 31/9`ry' <br /> P . O, BOX 2244 Issue Date ., j2 7 <br /> LODI , CA 95241- <br /> J OS E <br /> 5241-7OSE VIRAMONTES Home: (209)Z67-.5571 <br /> 328 MAPLE ST Shop : (209,)941-54'4 <br /> LODI , CA 95240- Mobile: (209)482-6806 <br /> FOR. RESTRICTED MATERIALS PERMIT" USE ONLY <br /> 1 Poss . & Use X � Job <br /> Permit Type : Poss . Only S i � easQna iiXi i :i i i <br /> _Permittee Type: O. A . Cert Ag. PCO ; Private App ; X ; Non-Ag <br /> NOI required 24 hours prior to application . <br /> Method,.: phone : X : box : X ; person : X : modem fax � <br /> Numb Pesticide Pest(s) Form.. Method(s) Applicator(s) <br /> I.O.s1 S E V I N Larvae Liquid Ground PCO Grower <br /> 1360 CHLOROPICRIr•! Nematode Fumigant Ground PCO Grower <br /> 1930 DIAZIN0N Larvae Liquid Gr curd PCO Grower <br /> 3141 GUTHION Mi..tes LiquiQ' Ground PCO Grower <br /> x.3850 METHYL CR.Oi"9IDE `"oil/Stored Fumigant Ground PCO Grower <br /> 9801 2: , 4-D AMINE Weeds Liquid Ground PCO Grower <br /> 16011 PARAQUAT Weeds Liouid Ground PGO Grog,..re;- <br /> _16891 SUPR.ACIDE Larvae Liquid Ground PCO Grower <br /> 19102 'VYDATE Nematode Liquid Gror-ind PCO Grornier <br /> 20080 PERMETHRIN Larvae Liquid Ground PCO Grower <br /> 20082 POUNCE Larvae Liquid Grorund PCO Grower <br /> —22941 ASANA Larvae Liquid Ground PCO Grower. <br /> Non--Ag Use <br /> Conditions: POW <br /> —I understand that this permit. doesvnot= <br /> 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 damageµ, 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 /> fAcillties for pesticides or emptied containers and aquiprilent, used, or to be <br /> —used in the treatment .. [Form 33- 125/v3 . 53 ( Rev . 02/16/90) Peµ,ti.cid Enforcement. <br /> B ranc" _- <br /> armit App1icant : '1T�S'P. C V rl RA 0)1 T2-_ P Sign <br /> — Tit 1 e V_ i�'�- ----_ Da t.e. .. 1 11 <br /> I s•s u i n,,, Off icer Gf:.�- --��'?_� Da Le <br />