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SAN JOAQUIN COUNT': A� <br /> 1868 E . HAZELTON AVENUE U(� <br /> STOCKTON, CA 95205 <br /> Web URL:www . co . san-joaquin . ca . us/agcomm <br /> E-Mail : <br /> office : ( 209 ) 468-3300 Recorder (NOI ) : ( 209 ) 468-3300 FA.X: ( 209 ) 468-3330 <br /> ---------------------------------------------- <br /> __________________________________ ------------------- <br /> RESTRICTED MATERIALS PERMIT PERMIT 1t : 39-03-3904309 <br /> County HQ District # : E <br /> LODI FARMING INC Expiration Date : 12/31/200" <br /> 11292 N ALPINE RD Effective Date : 01/07/2002 <br /> STOCKTON. CA 95212- <br /> RAY AVANSINO Home : ( 209 ) 334-3424 <br /> 11292 N ALPINE RD Shop: ( 2091948-4022 <br /> STOCKTON. CA 95212- rax: <br /> Mobile : ( 1369-5520 <br /> Permittee Type Permit Type Poses_ --ion NOI Method of Submission <br /> -------------- <br /> -- <br /> Private App IXI Seasonal IXI Pass & Use I I Phone IXI Fax I I <br /> Q A CertJob I I Poss Only IXI Box IXI Modem I I <br /> Ag PCO I I In Person IXI Web I>el <br /> �- Non-Ag I I NOI required 24 hours prior to applicatior: <br /> Non-Ag Use: None <br /> Conditions : PQWU <br /> I understand that this permit does not 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 . 2 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 uses <br /> in the treatment . (Form PR-ENF-125 (Rev. 07/92 ) Pesticide Enforcement Branch] <br /> Permit Applicant : � � � Sign : <br /> Title : fit '( R YAK; Issue Date: f <br /> Issuing Officer : - Issue Date : <br /> Page 1 <br />