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r <br /> SAN JOAQUIN COUNTY <br /> 1863 E. HAZELTON AVENUE <br /> STOCI•:.TON, CA 95205 <br /> � Web URL :www. co . san-j oaqui n . ca . us-/ag corrin °x <br /> E-mail <br /> f.)Tiice ( 2Q9 1)4 r,i1_:..on r I } : ( 209j4E.3-3'00 FA:.: ( 209 } 46-s <br /> 1t <br /> r-.r•^ 'i<IC.;, L MATER_ .L'' FERTMJTRM <br /> t�F_-�.. IT � : <br /> MURPHY ..14ZAt•3,-.,H r, � - - , ^.te tE, 21 1112 0 0 <br /> 171350 FR.O Ti STREET <br /> -rim SI-1 11-11,,r - - - - <br /> 24611 GA'f NEE:: I*'D <br /> ESCALON- CA 2 0`4 65 4914 <br /> 9 , 9 is 9 n".- .7 <br /> tRitLG++L+ TttJ �r +h %d _,frCrIftit 1Y - - } - <br /> '•L1ii.3_. �J._ <br /> r. App 1.X1 Sr_+,ason•r1-�l I:3 S POx-2-7 6t Use j:K .�•�':�..):le----------------------------- <br /> Private a Fa--, <br /> T., ( - <br /> ,. Cert ; J._b• t i Foa� Only mad--yr. ; <br /> Ig PCO j ; rn, I r-L,c,n :_ Wei 1%� <br /> Nan-Ag I`loI r-e:-j u Ir--d 24 houtr__ .pIior' t app l2cat10, <br /> Non-Aq Use ; None <br /> ` Conditions: PQWX <br /> 1" understand that thio permit does not relieve me from liability for any damage <br /> t{: per _,ns or pr.operty cauked by the use o_ these pesticides . I waive any <br /> •:_laim of 11abilit; for damage= against the County Department of Agriculture <br /> L;aaed on the issuance of this permit . I further understand that this per-rnit <br /> may be revolved when pesticide: are used in conflict with the manufacturer'''s <br /> Iat,eling 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 used <br /> an the treatment . [Form FR-ENF-125 (Rev . 07Z92 ) Pesticide En o nt ranch j <br /> Applicant : � � �. Sign . <br /> Title : _ h Issue Datt- <br /> ti <br /> lo....ti Officer : Issue Late . <br />