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SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br /> 2101 E EARHART AVE, SUITE 100 <br /> ?� STOCKTON, CA 95206 <br /> y � :{ Office: (209)953-6000 Fax: (209) 953-6022 <br /> �qtf-F P Email: stocktonag2@sjgov.org Web: vAm.co.san <br /> o -joagtrin.ca.uslagcomm <br /> RESTRICTED MATERIALS PERMIT: 39-17-3904367 <br /> Operator:Vicarmont Vineyard #3904367-2017-Version: 1 <br /> f <br /> 164&:LN LOCUST TREE RD County District#:E <br /> (�1 LODI, CA 95240- Issued on:(19-3117 r <br /> Valid as of: <br /> Agent:METTLER, VIC Expireson:121311201-7� <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,0, B See condition detail for <br /> code descriptions. <br /> Regulatory Notes: <br /> PU <br /> ---------------------------------------------------------------------------------------------------------------------------------------- <br /> 1 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. l waive any claims of liability for damages against the County Department of Agriculture based on <br /> the issuance of this permit. 1 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, Califomia 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: 4 <br /> (Name&Title) pp <br /> Applicant Signature: l - Date: I — <br /> F, <br /> Issuing Officer: Date: <br /> Page 1 <br />