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1 <br /> Pgt�IN SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br /> 2101 E EARHART AVE, SUITE 100 2017 <br /> STOCKTON, CA 95206 <br /> Office: (209)953-6000 Fax: (209)953-6022 <br /> Email: stocktonag2@sjgov.org Web: waiw•co.san-ioaquin.caus/agcomm <br /> ��FORr� <br /> RESTRICTED MATERIALS PERMIT: 39-15-3900466 L_ 0,1UG NAL <br /> Operator: MIDLAND FARMS #3900466-2015-Version: 1 <br /> P.O.BOX 578 County District#: D j,C , <br /> LINDEN, CA 95236 Issued on:,9- <br /> G. <br /> Valid as of: � - 'hut S' J <br /> Agent: RICK TOWNLEY Expires on: 12/31/2017 <br /> Primary Phone: <br /> Alternate Phone: <br /> Mobile Phone: <br /> Fax: <br /> Type of Use: Agricultural Use Notices Of Intent required 24 hours <br /> Pesticide Possession: Possession and Use prior to application of pesticide <br /> Permit Duration: Seasonal containing restricted materials <br /> Permit Conditions: A, P, Q, O,W, B See condition detail for <br /> code descriptions. <br /> Regulatory Notes: <br /> --------------------------------------------------------------------------------------------------------------------------------------- <br /> I 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. I <br /> authorize inspection at all reasonable times and whenever an emergency e�sts 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: l04� <br /> (Name&Title) <br /> Applicant Signatur �- ' Date: <br /> 01 <br /> Issuing O > Date: A/1 <br /> 1 <br /> r <br /> Page 1 <br />