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oPquini c SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br /> ? _° 2101 E EARHART AVE, SUITE 100 <br /> Q•, :-- A- -� STOCKTON, CA 95206 <br /> Office: (209) 953-6000 Fax. (209)953-6022 <br /> • ' ' www.co <br /> comm <br /> Email: stocktona 2 s ov.or Web: i 4 9 <br /> 9 @ fg 9 <br /> 9�IpoR <br /> RESTRICTED MATERIALS PERMIT: 39-16-3904208 <br /> Operator:HANDEL, HARLEY #3904208-2016-Version: 1 <br /> 16696 N LOCUST TREE RD County District#:E <br /> LODI, CA 95240- Issued on: //X b//y <br /> Valid as of:1176 // <br /> Agent:HAND E L,HARLEY Expires on:12/31/Z01t <br /> Primary Phone: <br /> Alternate Phone: ( ) - <br /> Mobile Phone: ( ) - <br /> Fax: <br /> Type of Use:Agricultural Use <br /> Notices Of Intent required 24 hours prior <br /> Pesticide Possession:Possession and Use to application of pesticide containing <br /> Permit Duration:Seasonal restricted materials <br /> Permit Conditions:A,P,O, B See condition detail for <br /> code descriptions. <br /> Regulatory Notes: <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 11/06)Pesti[ciide Enforcement Branch] <br /> Applicant: <br /> (Name&Title) <br /> Applicant Signature: Date: / <br /> Issuing Officer: ,ter Date: <br /> Page 1 <br />