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�STR.1CTED MATERIAL 9 PRMIT cc.nt.ir€cied e . .p a "ge# - 7" <br /> t <br /> ArrEsE, rUGENE � ry � 2 <br /> b Perin-mit#-` q t.i .`� cl aca� <br /> -_ ______�_� _ <br /> WbRl' ERS `SAFETY,:.sERtE9 : AT'TACHED r <br /> --------------------_ '' � _ ----- __ --------------- ------ <br /> thr-o€�(gh -9 'Senera' 1 'Info ! ,,. � �'�`� i.. Chollnestera e Testing <br /> �'ERMIT�C�#t�IDITI4�,`S ATTACHED <br /> � ----_= _---- --"- .-...--.... - <br /> LL X I P Genera' l..� <br /> �X1 C Di cam ba & .Pheno%.y "Herbicides Central .Valley{/Haz�ardcaus Area <br /> _ - Dic mtaa & F'hene�;.ys Sped,"aI.,Ha ar-tio's's,".firea.'k <br /> - . Met.arn Sod'ium (Vapa M) :5 <br /> �. �. Aldica:rb (T mik.) a ri4 <br /> ter . -- EndOSUlfan '(Thiodan) <br /> i �I y - 'Rice Pesticides "grogram.. _ <br /> Mca3"inate (Ordram) wca4 -' Safety <br /> E`j Attachmehts i-9� Mo -kh to ( ,, ;th��her�'cat .i "'.( r ,�" "q ca.rba"furAn <br /> ('. ):,{' methyl.par�i.thioh, (4,'`g) and mz'lEtthion"-.,(vc)),Ltn-Lary. 5,r). . . <br /> i � <br /> t l �x <br /> W : ;Y eth,y Bromide <br /> 8� T ` ' _ Soil within gre-enhoUses " <br /> E_l Com:nod i ty` " <br /> I 1 Sdi"l " injection <br /> �4 <br /> C r- <br /> Taped ' patting soil' ` <br /> I fling l e tree site <br /> X _: Fura'd a n chemigation. c,f graces <br /> y 7 Other"" <br /> 1,-_-.-- - - - - <br /> PESTICIDE " SALES, �, .C�iQJ�rni�ATEi�'3"F r aTE�T.s".0�1. - <br /> ,.: _ <br /> _ <br /> ?he material I :am purchasir-ag vil 11. not :be, used in" � 'r'estici ie "M�anagefTsnntr <br /> Zone .(mss described in . Section "6eC)^9" T' tle Vin. Cal""ifbrn'ia Code`Qf Reg'- <br /> ulat.ions,) for. agricultural cru°tdcaor,;-ilZst"� tuticinal. .-O outcoor i:ndListrial. " <br /> i TL,-e material .I am purchasing will L;6,1 <br /> e Used a Pes"ti.cide managenie-_nt.-Zcj;-En <br /> t a- de r_r-i'bed in Section .6502� Title , .:Ca:l i ornia Code -cif " Seg::€l ations } <br /> •Frn ;;4gricu:1turraI , .'outchoor in-_,t3t <br /> Lt-I orra.l. .off,. pt_itdccar indastr ice) 'use 'and ti.. <br /> " copy of try restricted matp"rials .,p�r-tn- t sa'=# acted <br /> 'Material .;pt€r,chasede ,C..__I- Atraz1^�e "Simazine �_ a Eir-btri acil"" " <br /> . ]" 73iu"e c►na rcarne� cin . "_� Ben tazon <br /> I Certify":.€nder penalt}• ,ef 0 ert' <br /> .}ury that the -"fbr eing .statement 'i's tr. ."".:4e.q . <br /> and . that "I w:i11- not :apply' any rnat-er al =Jdsted .,in 'Sec tion 6800(a) i''n any <br /> Pe -icide� 'Management Zane f.c�r ACji a .€7tur=:e9. cau doo i.nst_Jt€+tz-or,al ""cr. <br /> or.�� 800r- indust.r-ia.l. uses exc���t�".in .a+ coy dt�r+tr v�+w:th a �aerr�i"t i�.stierl . .b}, the <br /> c.w-€qty" agr.a c €3 tur;al. scam ipsi Asn rrar';tine "di> ector." a Tn . criinty in ,.r•atii ch <br /> '"here is no ccommis aioner <br /> yj <br /> ter <br /> Da <br /> E■ice` _' ' F Ik r - .. - " <br /> k,. .,. .. .. -+•s - - ♦." ,. .p.it z. ••yv.. - - ' -S <br />