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°`'''IN SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br /> 2101 E EARHART AVE, SUITE 100 <br /> y ; "; STOCKTON, CA 95206 <br /> Office: (209) 953-6000 Fax: (209)953-6022 <br /> Email: stocktonag2@sjgov.org Web: www.co.san-joaquin.ca.uslagcomm <br /> �r�oR <br /> RESTRICTED MATERIALS PERMIT: 39-13-3904208 <br /> Operator: HANDEL, HARLEY #3904208-2013-Version: 1 <br /> 16696 N LOCUST TREE RD County District#: E J -) <br /> LODI, CA 95240- Issued on: G ZG. Z <br /> Valid as of: 7` / <br /> Agent: HANDEL,HARLEY Expires on: 12/31/2015 <br /> T Primary Phone: <br /> oruGINAL Alternate Phone: ( ) - <br /> Mobile Phone: ( ) - <br /> Fax: <br /> Type of Use: Agricultural Use Notices Of Intent required 24 hours <br /> Pesticide Possession: Possession and Use prior to application of pesticide <br /> Permit Duration: Seasonal containing restricted materials <br /> Permit Conditions: A, P, O, B See condition detail for <br /> code descriptions. <br /> Regulatory Notes: <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 /> Applicant: JyC�/ �C� /1 c-��� <br /> (Name&Tide) f / <br /> Applicant Signature: L � � Date: <br /> Issuing Officer: lire` LL Date: <br /> Page 1 <br />