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SAN JOAQUIN COUNTY ZCpZ <br /> 1868 E. HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Office: ( 209)468-3300 Recorder (NOI) : (209)468-3300 FAX: ( 209 )468-3330 <br /> RESTRICTED MATERIALS PERMIT Permit 39:-02-3.903311 <br /> County HQ Dis+trict# : C <br /> MURPHY RANCH' , Expiration Date: 1.2/31/2002 <br /> 2549 BEECHER RD Effective Date <br /> STOCKTON, CA 95215 <br /> TIM SUNBURY Home: ( 209 )931-4382 <br /> 2549 BEECHER RD Shop: (209 )886-5493 <br /> STOCKTON, CA 95215 Fax: <br /> Mobile : ( 209 )969-9^089 <br /> ------------------------------------------------------------------- <br /> Permittee Type Permit Type Possession NOI Method of Submission <br /> -------------- ------------ -------------- -------------------------- <br /> Private App ( ] Seasonal [X] Poss & Use [X] Phone (X] Fax [X] <br /> Q A Cert ( ) Job [ ] Poss Only [ ] Box [X] Modem [ ] <br /> Ag PCO (X] In Person [X] <br /> Non-Ag [ ] NOI required 24 hours prior to application <br /> Numb Pesticide Pest(s) Form Method(s) Applicator( s) <br /> _ ----- --------------- ------------ -------- ---------------- ----------------- <br /> 1041 CAPTAN DUST FUNGI Dust Air Ground PCO Grower <br /> 1051 - SEVIN LARVAE Liquid Air Ground PCO Grower <br /> 1061 FURADAN NEMATODE Liquid Other PCO Grower <br /> 1360 CHLOROPICRIN NEMATODE Fumigant Fumigate PCO Grower <br /> 3141 GUTHION MITES Liquid Air Ground PCO Grower <br /> 3830 METHOMYL LARVAE Liquid Air Ground PCO Grower <br /> 3850 METHYL BROMIDE SOIL/STORED Fumigant Fumigate PCO Grower <br /> 4840 ALUMINUM PHOSPH RODENTS Fumigant Fumigate PCO Grower <br /> 5540 STRYCHNINE GOPHERS Bait Ground PCO Grower <br /> 6260 ZINC PHOSPHIDE RODENTS Bait Ground PCO Grower <br /> *** ** PESTICIDES CONTINUED ON NEXT PAGE ****** <br /> Non-Ag Use : <br /> Conditions : PQW <br /> I understand that this permit does riot relieve me from liability for any damage <br /> — to 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 /> based on the issuance of this permit . I further understand that this permit <br /> may be revoked when pesticides are used in conflict with the manufacturer' s <br /> labeling or in violation of applicable laws , regulations and specific <br /> conditions of this permit. I authorize inspection at all reasonable times and <br /> Whenever 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 /> facilities for pesticides or emptied containers and equipment used or to be usec <br /> in the treatment. [Form PR-ENF-125 (Rev. 07/92 ) Pesticide Enforcement Branch'i <br /> Permit Applicant: 1M U��UR t Sign: <br /> Title: manG611-6� �- Date : -,000 <br /> Issuing Officer. �+,,� /":L-v�' Date . <br />