Laserfiche WebLink
SAN JOAQUIN CCUNTY <br /> 1868 E. HAZELTON AVENUE <br /> uttice : ( ZU9 )46833UU Recorder (NOI ) ( 209 )468-3300 FAX: ( 209 )468-3330 <br /> RESTRICTED MATERIALS PERMIT PERMIT/OPERATOR I .D. ,: : 39-96-3903298 <br /> County HQ District C <br /> CENTENO, HECTOR Expiration Date : 12/31/96 <br /> 15997 SEXTON Issue Date : i�2 s'fG <br /> ESCALON, CA 95320- <br /> HECTOR CENTENO Home : ( 209 ; °3c-14 <br /> 15997 SEXTON Shop: ( } - <br /> ESCALON , CA 95320- Mobile : ( 2091_OjJJ_ <br /> FOR RESTRICTED MATERIALS PERMIT USE ONLY <br /> Permit Tpe : Poss . Only Seasonal ; X ; -"O'Poss . & Use ; X; J ob <br /> Permittee Type : Q .A. Cert Ag. PCO Private App ', X <br /> !OI required 24 hours prior to application. <br /> modem --- t�` I <br /> Method: phone X; box ' i ' person ;X; <br /> - - ---------------------------- - - -Method-( -- )- - <br /> -------------- <br /> ' umb Pesticide Pest( s ) Form. - --Method( -- ) -_Applicator( s ) <br /> ---- --„--------- -------- ----- <br /> 1051 SEVIN Larvae Liquid Air Ground PCO Gro er <br /> _061 FURADAN Nematode Liquid Air Ground PCO Groner <br /> 3830 METHOMFL Larvae Liquid Air Ground PCO Grower <br /> -360 �iCP:�, DI`1ETII LA Weeds Liquid Air Ground PCO G_—ower <br /> PCC Grower <br /> 9801 2 , 4-D AMINE weeds Liquid Ground "CO Crow�r <br /> '_60: 1 PARAQUAT weeds Liquid Air Ground r <br /> 20080 PERMETHRIN Larvae Liquid Air Ground PCO Grower <br /> 2'?941 ASANA Larvae Liquid Air Ground PCO Grc�� �r <br /> Non-Ag Use: <br /> Conditions : PQ <br /> -- � + - <br /> T_ understand that this permit does not relieve me from liabilit-• for ark dama_e <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 inspectionat all reasonable tires and <br /> whenever an emergency exists , by the Department of Pesticide Regulation ;r <br /> County Department of Agriculture of all areas treated or to be treated , <br /> -facilities for pesticides or containers and equipment used or to be <br /> used in the treatment. [Form 33-12�/v3 . 53 ( Rev . 02/16;90 ) Pesticide E F .. co ent <br /> Branch] <br /> Permit Applicant : L Si;n <br /> Title : _ <br /> Date : <br /> rate • <br /> TSz-u :1g Offices _ <br /> _ ---- <br />