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aQUi!Y SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br /> 2101 E EARHART AVE, SUITE 100 1 <br /> V), { STOCKTON, CA 95206 <br /> Office: (209) 95i�6000 Fax: (209)953-6022 <br /> d� r. ,; .•fir Email: stocktonag2@sjgov.org Web: www.co.san-joaquin.ca.us/agcomm <br /> RESTRICTED MATERIALS PERMIT: 39-12-3900466 Zj ORIGINAL <br /> Operator: MIDLAND FARMS #3900466-2012-Version: 1 <br /> P.O.BOX 578 County District#: D <br /> LINDEN, CA 95236 Issued on: 2-- <br /> Valid as ofd/�;o- S�2- <br /> Cr� <br /> Attention: RICK TOWNLEY Expires on: 12/31/2014 <br /> Home Phone: <br /> Office Phone- <br /> Mobile Phone: <br /> Fax: <br /> Type of Use: Agricultural Use Notices Of Intent required 24 hours <br /> Pesticide Possession and Use prior to application of pesticide <br /> Possession: containing restricted materials <br /> Permit Duration: Seasonal <br /> Conditions: A, P, Q, 0,W See condition detail <br /> for code descriptions. <br /> Regulatory Notes: <br /> --------------------------------------------------------------------------------------------------------------------------------------- <br /> 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 <br /> on the issuance of this permit. I further understand that this permit may be revoked when pesticides are used in conflict <br /> with the manufacturer's labeling or in violation of applicable laws, regulations, and specific conditions of this permit. <br /> authorize inspection at all reasonable times and whenever an emergency exists by the Department of Pesticide <br /> Regulation or the County Department of Agriculture of all areas treated or to be treated, storage facilities for pesticides or <br /> emptied containers and equipment used or to be used in the treatment. I have considered alternative and mitigation <br /> measures pursuant to Title 3, California Code of Regulations, section 6426. Taking into account economic, <br /> environmental, social, and technological factors, I have adopted those that are feasible and would substantially lessen <br /> any significant adverse impact on the environment. <br /> [Form PR-ENF-125(Rev 11/06)Pesticide Enforcement Branch] <br /> Applicant: <br /> (Name& ) <br /> Applicant Signature: Date: 4 405)f' �L <br /> Issuing Officer Date: �� v�� ZUt Z. <br /> Page 1 <br />