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SAN JOAQUIN COUNTY <br /> 1868 E . HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Office: (209)468-3300 Recorder (NOI ) : (209)468-3300 FAX : (209)468-3330 <br /> RESTRICTED MATERIALS PERMIT Permit#• 39-02-3904674 <br /> County HQ District# : F <br /> V & V FARMS Expiration Date : 12/31/2002 <br /> P 0 BOX 2244 Effective Date : 01 10 <br /> LODI , CA 95241- <br /> _ JOSE VIRAMONTES Home: (209)367-5571 <br /> 328 MAPLE ST Shop: (209)941-5434 <br /> LODI , CA 95240- Fax : <br /> Mobile : (209)482-6806 <br /> Permittee Type Permit Type Possession NOI Method of Submission <br /> --------=----- ------------ -------------- ------------------------•-- <br /> Private App [X] Seasonal [X] Poss & Use [X] Phone [X] Fax [ ] <br /> Q A Cert [ ] Job [ ] Pass Only [ ] Box [X] Modem [ ] <br /> Ag PCO [ ] In Person [X] <br /> Non--Ag [ ] NOI required 24 hours prior to application <br /> Numb Pesticide Pest(s) Form. Method(s) Applicator(s) <br /> -- --- --------------- ------------ -------- ---------------- ----------------- <br /> 1051 SEVIN LARVAE Liquid Ground PCO Grower <br /> 1360 CHLOROPICRIN NEMATODE Fumigant Ground PCO Grower <br /> 3141 GUTHION MITES Liquid Ground PCO Grower <br /> 3850 METHYL BROMIDE SOIL/STORED Fumigant Ground PCO Grower <br /> _ 9801 2,4-D AMINE WEEDS Liquid Ground PCO Grower <br /> 16011 PARAQUAT WEEDS Liquid Ground PCO Grower <br /> 16891 SUPRACIDE LARVAE Liquid Ground PCO Grower <br /> 18571 NEMACUR NEMATODE Fumigant Fumigate PCO Grower <br /> Non--Ag Use : <br /> Conditions: PQW <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 /> faciIlities for pesticides or emptied containers and equipment used or to be used <br /> in the treatment . [Form PR-ENF--125 (Rev . 07/92) Pesticide Enforcement Branch] <br /> Permit Applicant:���__ _�_ �I �n�r ly� J Sign: \ � <br /> Title: Gate : <br /> Issuing Officer: Date : <br /> �7 <br />