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oP !?I!v o SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br /> 2101 E EARHART AVE, SUITE 100 <br /> STOCKTON, CA 95206 <br /> Office: (209)953-6000 Fax: (209)953-6022 <br /> �v Email: stocktonag2@sjgov.org Web: www.co.san-ioaqufn.ca.us/agcomm <br /> �ikog� <br /> RESTRICTED MATERIALS PERMIT: 39-15-3900228 AGINAL <br /> Operator: LAGOMARSINO, C&A #3900228-2015-Version: 1 <br /> 16042 E BAKER RD County District#: D ,C . <br /> LINDEN, CA 95236- Issued on: <br /> Valid as of. i <br /> Agent: LAGOMARSINO,C&A Expires on: 12/31/2016 <br /> Primary Phone: <br /> Alternate Phone: <br /> Mobile Phone: <br /> Fax: <br /> Type of Use: Agricultural Use <br /> Pesticide Possession: Notices Of Intent required 24 hours <br /> Possession and Use prior to application of pesticide <br /> Permit Duration: Seasonal containing restricted materials <br /> Permit Conditions: A. R Q,0,W, B See condition detail for <br /> code descriptions. <br /> Regulatory Notes: <br /> P,Q,W <br /> --------------------------------------------------------------------------------------------------------------------------------------- <br /> understand that this permit does not relieve me from liability for any damages to any persons or property caused by the <br /> use of these pesticides. I waive any claims of liability for damages against the County Department of Agriculture based <br /> on the issuance of this permit. I further understand that this permit may be revoked when pesticides are used in conflict <br /> with the manufacturer's labeling or in violation of applicable laws, regulations, and specific conditions of this permit. <br /> authorize inspection at all reasonable times and whenever an emergency exists by the Department of Pesticide <br /> Regulation or the County Department of Agriculture of all areas treated or to be treated, storage facilities for pesticides or <br /> emptied containers and equipment used or to be used in the treatment. I have considered alternative and mitigation <br /> measures pursuant to Title 3, California Code of Regulations,section 6426. Taking into account economic, <br /> environmental, social,and technological factors, I have adopted those that are feasible and would substantially lessen <br /> any significant adverse impact on the environment. <br /> [Form PR-ENF-125(Rev 11/06 Pesticide Enforcement Branch] <br /> pplican <br /> e Title) <br /> X p-16 31ufe=" 1 Date: <br /> Issuing Offic Date: <br /> Page 1 <br />