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oP9r!',lN, o SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br /> r <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.orgWeb: wsnv.co.san-joaquin.ca.us/agcomm <br /> 4 KORA <br /> RESTRICTED MATERIALS PERMIT: 39-14-3904534 <br /> Operator: K G VINEYARD MANAGEMENT LLC #3904534-2014-Version:4 <br /> P O BOX 688 County District#: G <br /> WOODBRIDGE, CA 95258 Issued on: <br /> Valid as of:l�eg�/3 <br /> Agent: BEN KOLBER Expires on: 12/31/2014 <br /> OIGINAL Primary Phone: <br /> Alternate Phone: <br /> Mobile Phone: <br /> Fax: <br /> Type of Use: Agricultural Use <br /> Pesticide Possession: Notices Of Intent required 24 hours <br /> Possession and Use prior to application of pesticide <br /> Permit Duration: Seasonal containing restricted materials <br /> Employees Handle Pesticides <br /> Permit Conditions: A, GWP-1-1, GWP-1-2, GWP-R3, R Q. O, B See condition detail for <br /> code descriptions. <br /> Regulatory Notes: <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 manufacturers labeling or in violation of applicable laws, regulations, and specific conditions of this permit. I <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: ,,\ Vo1� 0WV1QC' <br /> (Name a) <br /> Applicant Signature: Date: <br /> c <br /> Issuing Officer: Date: <br /> Page 1 <br />