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SAN JOAQUIN COUNTY <br /> 868 E . HAZELTON AVENUE <br /> •�; ;STOCKTON, CA 95205 P7 <br /> Office: ( 209)468-3300 Recorder (NOI ) ( 209)468-3300 FAX: (209 )468-3330 <br /> FL;STRICTED MATERIALS PERMIT PERMIT/OPERATOR I .D. # : 39-97-3901284 <br /> County HQ District # : A <br /> PHILLIPS , RICHARD Expiration Date : 12/31/98 <br /> 12277 S UNION RD Issue Date : 01/01/97 <br /> MANTECA, CA 953,36- <br /> RICHARD PHILLIPS Home : ( 209 )858-2696 <br /> 12277 S UNION RD Shop: "( 209 )858-2696 <br /> MANTECA, CA 95336-- Mobile: <br /> -� �----------===^=TT=FOR-RESTRICTED-MATERIALS PERMIT USE ONLY=---=-=------Y===== <br /> Permit Type: Poss . Only Seasonal ;X; Pass. & Use M Job ; <br /> Permittee Type : Q.A. Cert ; ; Ag . PCO Private App ,X; Non-Ag . ; ; <br /> P. fI required 24 hours prior to application. <br /> Method: phone ; X; box ;X; person ;X; modem ; X; fax ; X <br /> dumb--—Pesticide Pest( s ) Form. Method( s ) Applicator( s ) <br /> r <br /> 1051 SEVIN Larvae Liquid Ground PCO Grower <br /> r160 CHLOROPICRIN Nematode Fumigant Fumigate PCD Grower <br /> i50 METHYL BROMIDE Soil/Stored Fumigant Fumigate PCO Grower <br /> 4840 ALUMINUM PHOSPH Rodents Fumigant Fumigate PCO Grower <br /> 5-540 STRYCHNINE Gophers Bait Ground PCO Grower <br /> € 3011 PARAQUAT Weeds Liquid Ground PCO Grower <br /> Y6891 SUPRACIDE Larvae Li uid Grou d PCO Growerk-,w <br /> F?n-Ag Use: <br /> conditions__PQW_____________________________________-=-=--T_=====W--===_--__--- <br /> Funderstand that this permit does not relieve me from liability for any damage <br /> o 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 /> used <br /> on the issuance of this permit . I further understand that this permit <br /> y be revoked when pesticides are used in conflict with the manufacturer' s <br /> labeling or in violation of applicable laws , regulations and specific <br /> Fnditions of this permit . I authorize inspection at all reasonable times and <br /> "never 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 /> acili.ties for pesticides or emptied containers and equipment used or to be <br /> L"II sed in the treatment. [Form 33-125/v3 . 53 {Rev. 02/16/90 sticide Enforcement <br /> ranchl -)20 <br /> Permit Applicant : t F U � �� . Sign: <br /> ,f Title . owlve Date , , 9 <br /> Issuing Officer : ------ Date : Y � t �17 <br /> i <br /> Fj <br />