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r+�r <br /> SAN JOAQUIN COUNTY <br />--- 1868 K HAZELTON AVENUE <br /> STOCKTON, CA 95205- <br /> E-mail: Web:w ww.co.senyoaquin.e&us/arm= <br /> Office: (209)468.3300 Fax:(209)458.3330 Recorder(NON), (209)468.3300 <br /> RESTRICTED MATBRIALS PERMIT <br /> Permit Number: 39-04-3940462 <br /> CAFFESE,EIJC92]E <br /> Co <br /> 5475 VAN ALLEN RD County District# D <br /> STOCKTON,CA 95245- Epiretiou Date: December 31, 2004 <br /> Effective Date: Jzmwy4 160 <br /> 2.06 <br /> .r EUGENE CAFFESE Home Phone: (209)463-8067 <br /> 5475 VAN ALLEN RD Shop Phone: (249)463-9446 <br /> STOCKTON, CA 95205- Mobile Phone: 57 <br /> Fax <br /> Permittee Type: Private Applicator NOI Method of Sahmbsivn: <br /> Permit Type: Seasonal Phone: X Fac Bor X <br />„�.. Possession: Possession&Use In Peron: X Modem Web: <br /> NOI required 24 bows prior to application. <br /> See end of per mt for <br /> Gottditions: A,P,Q T code descriptions. <br /> r`r <br /> I understand that this permit does not relieve rite front liability for any damages to any persons or property caused <br /> by the use of these pesticides. I waive any claims of liability for damages against the County Department of <br /> Agriculture based on the ismnnce of this permit. I further understand that this permit may be revoked when <br /> pesticides are used in conflict with the rnanufacbareeo labeling or in violation of applicable laws,regulations and <br /> specific conditions of this permit. I authorize inspection at all reasonable tunes and whenever an emergency exists <br /> +r by the Department of Pesticide Regulation or the County Department of Agriculture of all areas treated or to be <br /> treated,storage facilities for pesticides or emptied containers and equipment used or to be used in the treatment <br /> [Form PR-ENF-125 (Rev. 07192)Pesticide F.rtforcemerA Branch] <br /> r s'" <br /> Pemnit Apphesn /, c�,.fen e ( 4fA—e5 Signed: <br /> (Please prilt) �r, <br /> Tide: _ntln /_ Issue Date: l— ��d C <br /> P e se rmt <br /> Issuing Officer. Issue Date: <br />