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o�guAlk o SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br /> 2101 E EARHART AVE, SUITE 100 <br /> rns;;ii(. j 1 STOCKTON, CA 95206 <br /> Office: (209)953-6000 Fax: (209)953-6022 <br /> Email: stocktonag2@sjgov.org Web: www.co.san-joaquin.ca.us/agcomm <br /> Operator Identification Number 39-18-3909095 <br /> Operator:STODDART, EUGENE #3909095-2018-Version: 1 <br /> 14953 E.TOKAY COLONY RD County District#:E <br /> LODI, CA 95240 Issued on: <br /> Valid as of: -� <br /> Agent:STODDART, EUGENE Expires on:12/31/2018 <br /> 14953 E.TOKAY COLONY RD Primary Phone: <br /> LODI Alternate Phone: <br /> CA 95240 Mobile Phone: <br /> Fax: <br /> Type of Use:Agricultural Use <br /> Employees Handle Pesticides <br /> Permit ConditionS:P, B See condition detail for <br /> code descriptions. <br /> Regulatory Notes: <br /> --------------------------------------------------------------------------------------------------------------------------------------- <br /> I understand this operator identification number does not relieve me from liability for any damage to persons or property <br /> caused by the use of pesticides. I acknowledge that duly authorized representatives from the County Department of <br /> Agriculture or the Department of Pesticide Regulation may, at reasonable times, enter and inspect fields, areas, <br /> structures, greenhouses and equipment(including protective clothing and equipment)where pesticides are handled, <br /> stored or applied (ref. 3 CCR 6140). <br /> [Form PR-EN F-125(Rev 11106)Pesticide Enforcement Branch] <br /> Applicant: tom' s. <br /> (Name&T e) <br /> Applicant Signature: Date: <br /> Issuing Officer: ! �� Date: —j , <br /> u <br /> Page 1 <br />