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ogal;k SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br /> 2101 E EARHART AVE SUITE 100 <br /> STOCKTON, CA 95206 <br /> Office: (209)953-6000 Fax: (209) 953-6022 <br /> c`.c4zP Email: stocktonag2@sjgov.orgWeb: www.co.san-joaquin.ca.us/agcomm <br /> ��1fioR� <br /> Operator Identification Number 39-19-3909212 <br /> Operator:STODDART, RUSS #3909212-2019-Version: 1 <br /> 14953 E.TOKAY COLONY County District#:E <br /> LODI, CA 95240 Issued on:1/8/2019 <br /> Valid as of l/8/2019 <br /> Agent:RUSS STODDART Expires on:1213112019 <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 /> structures,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 1/1/06)Pesticide Enforcement Branch] r <br /> Applicant: <br /> (Name&Title) <br /> Applicant Signature: i—' Date: — <br /> Issuing Officer: _ -' Date: t __ <br /> Page 1 <br />