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-ANJOAQUM COUNTY <br /> 2141 E EARMRT-S=00 2011 <br /> STtSC'1;TCN, CA 95206- <br /> Web:ac;�.c a.s�-j ua�stt ca iu.'agcai� <br /> O€fice:(204)053-6000 Fax: (209)953-6022 Reccrde-(v©I's}:(311)453-6000 <br /> RFCTRYC'TF.T)14MATFRTAIN PFRAUT <br /> VAN FXFT.FARNIS PermitNnmher 39-11-3904556 <br /> _ 19914 V AN F3.rR.RT7 County.District 9: (- <br /> T.CIT)T CA 452:17- Expiration.Hate: December 31, 201.1 <br /> Effective Date:,4n <br /> C ORNF TIS%P K00GRR Hogue Phone: ( i <br /> 100%)VAN F-XFT.RT-) Shop Phone: <br /> T..7T)T CA 45247: Mobile Phone- <br /> Fax: <br /> Perwittee T-ve: Private,Applicator N01 Meahod of Submission <br /> Pen+�t Type: Siex rnal Phone: X Fax: Y Box: <br /> Possession: Possession &Use In Person: k web:a_ <br /> N01 reciiaired 24 hours crier to welicaio0_ <br /> v"onditions: P GVJ -R2,GtE[l_a-R5,O,P,Q See end of permit foe <br /> code descriptions. <br /> ------------------------------------------------- <br /> I understand that this permit dLLes not relieve me frons liability fa-my damages to any persons or proper,caused <br /> by the use of these pesticides. I waive any clairns of liability for damages against the County Department of <br /> .l+4;riouluze based on the issuance of this per unit. I fi rther understand that this pemit msy be revoked when <br /> pesticides are used in conflict with the m,anufactizer s labeling or in violation of applicable lases,regutatimms and <br /> specific conditions of this pm-nit. I authorize inspection at all reasonable tines arsd whenever an flsrmergenc,exists <br /> by the Deparm-tent of Pesticide Regulation or the County Department of A,griculure of all areas treated LT to be <br /> treated,storage facilities for pesticides or emptied containers and equipment used or to be used in the treatment <br /> I have considered alternatives and mitigation ineii nes pta-pmt to Title s,California Code of Regulatiann%section 6426. <br /> TaFing into account economic,eivirmnei tal,social,and terminological factors,I have admted those that are feasible <br /> and waild substantially lessen any significant adverse impact onthe eaiviranrnent. <br /> [Farnn PR-2-TF-125 (Rev.. 11106)Pesticide&i/fforcement Brandi] <br /> Permit APPlicant: (a7,— -, zr � -P, Signed- <br /> _ , (Please FnW <br /> Title: ,`c , e fit an, ssue hate: 12- 2Z— 20 to <br /> (Reese PAA <br /> I-Suing offices- ,, �i'G' c` Issue lute: <br /> Rage i <br />