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oRCL c SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br /> 2101 E EARHART AVE, SUITE 100 <br /> � F STOCKTON, CA 95206 <br /> 1 =? r• --Q ieer (1.OU763 6DUIT` Fax (209)953-6022 <br /> c P Email: stocktonag2@sjgov.org Web: www.co.san-joaquin.ca.us/agcomm <br /> qC%F�OStti <br /> Operator Identification Number 39-18-3909212 <br /> Operator:STODDART, RUSS #3909212-2018-Version: 1 <br /> 14953 E.TOKAY COLONY County District#:E <br /> LODI, CA 95240 Issued on:Vii .-Zv - oi. 1 <br /> Valid as of:;44412 tt— Cl--?is - �� 6 <br /> Agent:RUSS STODDART Expires on:12/31/2018 <br /> Primary Phone: <br /> Alternate Phone: <br /> Mobile Phone: <br /> Fax: <br /> Type of Use:Agricultural Use <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 /> strictures, greenhouses and equipment(including protective clothing and equipment)where pesticides are handled, <br /> stored or applied (ref. 3 CCR 6140). <br /> [Form PR-ENF-125(Rev 11/06)Pesticide Enforcement Branch] <br /> Applicant: �f <br /> Name TWe) <br /> Applicant Signature: ! Date: <br /> Issuing Officer: KI Date: <br /> r <br /> Page 1 <br />