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SAN JOAQU IN COUNTY <br /> 868 E . HAZELTON AVE. <br /> qTn -K",0 - , r 05205 <br /> Cr�"ice : ( 209 )468-13300 Recorde:­ ( NOI ) FAX: ( 209 )468-3330 <br /> RESTpICTED MATERIALS PERMIT PERMIT/OPERATOR I .D . T : 39-95-3903298 <br /> County HQ District * : C <br /> CENTENO, HECTOR Expiration Date : 12/31/95 <br /> 15997+ SEXTON Issue Date : )- ( p- �tS <br /> ESCALON , CA 95320- <br /> HECTOR. CENTENO Home : ( 209 ) 838-1434 <br /> 15997 SEXTON Shop: ( ) - <br /> ESCALON , CA 95320- Mobile : ( 209 )471-0435 <br /> FOR RESTRICTED MATERIALS PERMIT USE ONLY <br /> Permit Type: Poss. Only Seasonal ;X; Poss. & Use ;X; Job <br /> Permittee Type : Q.A. Cert Ag . PCO ; ; Private App ;X ; Non-Ag <br /> ?SOI required 24 hours prior to appliation. <br /> Method: phone ;X; boa: ;X ; person ;X; modem fax ;X <br /> Numb Pesticide Pest(s) Form. Method( s ) Applicator( s ) <br /> ----- --------------- ------------ -------- ---------------- ----------------- <br /> 1051 SENT*: Larvae Liquid Air Ground PCO Grower <br /> 1061 FURADAN Nematode Liquid Air Ground PCO Grower <br /> 3830 METHOMYL Larvae Liquid Air Ground PCO Grower <br /> 7860 MCPA, DIMETHYLA Weeds Liquid Air Ground PCO Grower <br /> 9801 2 , 4-D AMINE heeds Liquid Ground PCO Grower <br /> 16011 PARAQUAT Weeds Liquid Air round PCO Grower <br /> 20080 PERMETHRIN Larl-ae Liquid Air Ground PCO Grower <br /> 21630 BROMOXYNIL BUTY Weeds Liquid Ground PCO Grower <br /> 22941 ASANA Larvae Liquid Air Ground PCO Grower <br /> Non-Ag Use: <br /> Conditions : PQ <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 . I further understand that this permit <br /> may be revolved when pesticides are used in conflict with the manufacturer' s <br /> labeling or in violation of arrlicable laws , regulations and specific <br /> conditions of this permit . I authorize inspection at ail reasonable times and <br /> whenever an emergency ea:ists , b-- -the Department of Pesticide Regulation or the <br /> County -Department of Agriculti-re of all areas trcc' a or to be treated , storage <br /> rac�lities for pest_cides or cmp+ ied conta; ners and CgU4went cca or to be <br /> used-in the treatment. [Form 3„- '_25!13 . 53 (Rev. 02/16/90 ) Pes ic ' e Enforce <br /> Branch] � � � <br /> Permit Applicant : �'� Sign: <br /> Title.- tu 2 Date : <br /> Issuing Offic_ �_ Date : <br />