Laserfiche WebLink
SAN aOAQUIN COUNTY <br /> 1868 E. UAIELTON AVE OF <br /> STCKCKTON. CA 9520_E,, , La <br /> Web URL:�4 ,co.san-joaquin.ca.u5/aucomm <br /> E-mail . <br /> Office : (209) 468-3300 Recorder (N0Q : (2Q9) 468• 300 FARC: (2 U9) 468-3330 <br /> ��JtL 12�C 1rD ��T�J.AiIJ �.1�--w----..-.._----.�---........-----•�-----.�-'---.-..------._-----.�----..-.-- <br /> RMII PERMIT Q 39-- -39041UU <br /> County District Q C <br /> COSTAMAGNA, P & L 12- ! 3 r 1 p <br /> � Expiration Date; <br /> 17046 045 N DEVRIES RD Effective Date <br /> LODI, CA 95242- <br /> F, <br /> .5242-F i [ <br /> � <br /> PETE COS r,TAMAoNA <br /> 1 f 046 N DE�'RIES RD Home- <br /> 17046 <br /> ome <br /> LODI, CA 952 42- shop: ( � <br /> Fat: <br /> Mobile <br /> 0mittee Type Permit Type Possession N01 Method of Submission <br /> ----------------------- <br /> Private App iX1 Seasonal 1x1 Ptosa a Use IX1 Phone 1X1Fax -Ex€ <br /> A Cert 1 I sob i I Pols only 1 1 ?ox <br /> � 1 1 „ 1 X 1 Modem IXI <br /> 3 C. P <br /> E <br /> Non-Ag ! I CO Only 1_1 In Permon 1501 Web 1 1 <br /> N0I required 24 hours prior to application <br /> Non-Ag Use: None <br /> �ndi t ions: A , P <br /> See end of permit for <br /> cede descriptions. <br /> understand that this permit does not-relieve-me from-liability for-any damage <br /> IS 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 /> !75ed on the issuance of this permit. I further understand that this permit <br /> t y be revoked when pesticides are used in conflict with the manufacturers <br /> labeling or in violation of applicable laws, regulations and specific <br /> conditions of this permit, I authorize inspection at all reasonable times and a <br /> cF {enever an emergency exists, by the Department of Pesticide Regulation or the <br /> 62unt.y 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 /> r. the treatment. EFo PRNF-125 (Rev, p7j92? Pesticide Enforcement Branch] j <br /> I � �- � A--f",,kj <br /> Permit Applicant: ."sign. <br /> i <br /> Title: Issue Date: <br /> wing Officer: Issue Date: <br /> Page 1 <br /> F <br />