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2003 <br /> SAN i.JOAQUIN COUNTY <br /> HAZELTON .AVE113UE <br /> S TOL TON. ::A 95205 <br />.. Web URL , www�. co . san-j oaquin . ca .vs/,agcomm P <br /> Office : ( 209 ) 468--3300 Recorder (NC],1 ) : :( 209 }x.68-3300 FAX: f209} 468-3330 <br /> c. ? r"FEi7 MATERIALS-PERMIT -'[- PERMIT <br /> 1. Cq tnty HP District <br /> CN" F'ESE . EUGENE >: F_Xpirati.on Date : 12,/31./2003 { <br /> 5 �5 VAN i .zsLLEt3 .,RD Effective Date 01 /Qog0Z2003 <br /> STOCKTON, ; CA .:95205- <br /> EUGENE CAFPESE Borrie : ( 202 ) 463-3067 <br /> 5.475 SAN ALLE?4 ''RD ' Shop : ( 209 )'463-9406 <br /> ".r.'OCKTOI3, CLQ 95205- t!. Fax ! . <br /> Mobile f <br /> ogsea�sion ~: Noi Methor3 of Submission <br /> e:•r•rc:i .,t F.r�e T`yp,�--� Permit 'Type - P <br /> ._ <br /> _-----_ ------__ _ _ _---- .-........_------------ i <br /> #* <br /> Private App J XJ [,'Seasonal- <br /> ,Seasona l� JXJ , P6es & Use {X{ Phone {X{ Fax <br /> A Cert { { .yob { { Pass only i { BOX {X{ Modem ! 1 <br /> A� rCC { Ira. Person {}�{ weh <br /> 1401 requirod 24 .hours prior to applicati:on � <br /> Non-Aa .:Use : 146ne <br /> Conditions : P QAL 38150 <br /> aerstand .,that this-permit does-not Mrelieve me-from�liability for any damage <br /> c, persons or property caused by the use of these pesticides . I waive any <br /> Maim of liability for damages agAi.nst the County Depa-rtment of Agriculture <br /> bas,*� i on the 'issuance of this -permit I further underat:arid that .thip. psrtrit <br /> ?z:.+t be revoked when pesticides . aro used in conflict with the manufacture ' s <br /> ' s•?,:=eling or in violation of applicable ..Laws , re = <br /> gulations andpeciiic <br /> mil�.7.' of. thd;,: permit: : I isautl oriz'e inspection at all reasonable .times and <br /> yr j� 4pr Sl mer��£'E1c E°S:is'ts, by t;he r)epartiCl +T7 �-1f t; i-c i de �ogulat j7 - tt- <br /> ii: 'y a3"'t';?5e?T i of AQ r.IcluIt'!1re. f akI areas treated 0r to b1;_�, treated , oto:YaQF <br /> zcir pesticides or emptied containers and equipment useox to he uo <br /> in the tx oatrrient . , [Form Ph'-EMF--125 (Rev. 07./92; Pesticide Enforcement Eranch <br /> Gce ,rrr C' �5� Sign <br /> Per,ri t Applicant -- <br /> _� a� <br /> Tit I€: : Issue+ Date . l <br /> I�.S,Lling Oft er s _ Issue ]jute - <br /> Page. i <br /> a <br />