Laserfiche WebLink
oAgU N, e SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br /> 2101 E EARHART AVE, SUITE 100 <br /> �c i< STOCKTON, CA 95206 <br /> Office: (209) 953-6000 Fax: (209)953-6022 <br /> Email: stocktonag2@sjgov.org Web: www.co.san-joaquin.ca.us/agcomm <br /> ��jFORN <br /> RESTRICTED MATERIALS PERMIT: 39-17-3900228 <br /> Operator:LAG OMARSINO, C&A #3900228-2017-Version: 1 <br /> 16042 E BAKER RD County District#:D <br /> LINDEN, CA 95236- Issued on: <br /> Valid as of: 7 <br /> Agent:LAGOMARSINO,C&A Expires on:12/31/2019 <br /> Primary Phone: <br /> Alternate Phone: <br /> AK Mobile Phone: <br /> Fax: <br /> Type of Use:Agricultural Use <br /> Pesticide Possession: Notices Of Intent required 24 hours prior <br /> Possession and Use to application of pesticide containing <br /> Permit D u ration:Seasonal restricted materials <br /> Permit Conditions:&P, Q, 0,W, B, D,QL,M See condition detail for <br /> code descriptions. <br /> Regulatory Notes: <br /> P,Q,W <br /> ---------------------------------------------------------------------------------------------------------------------------------------- <br /> I 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 on <br /> the issuance of this permit. I further understand that this permit may be revoked when pesticides are used in conflict with <br /> the manufacturer's labeling or in violation of applicable laws, regulations, and specific conditions of this permit. I authorize <br /> inspection at all reasonable times and 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 facilities for pesticides or emptied <br /> containers and equipment used or to be used in the treatment. I have considered alternative and mitigation measures <br /> pursuant to Title 3, California Code of Regulations, section 6426. Taking into account economic, environmental, social, <br /> and technological factors, I have adopted those that are feasible and would substantially lessen any significant adverse <br /> impact on the environment. <br /> [Form PR-ENF-125(Rev 11106)Pesticide Enforcement Branch] <br /> Applicant: <br /> (Name&Tille) 1 <br /> Applicant Signature: Date: 1 "� <br /> d <br /> Issuing Offi r: Date: <br /> Page 1 <br />