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1868 E. HAZELTON AVENUE <br /> " S I OCKTON , CA 95205 <br /> Uffice: (-109)4'8-3'00 Recorder (NOI) (209)468-3300 FAX : �209 �46i-3330 <br /> RESTRICTED MATERIALS PERMIT PERMIT/OPERATOR I .D, ' #:, 39791-3902007 <br /> County HQ District #: 3 <br /> ,,RNAUDO, B & B Expiration Date: 12/31/97 <br /> 15GS TRACT' BLVD Issue Date: 01/07/97 <br /> TRACT' , CA 95376-- <br /> FRANK <br /> 5376-FRANK ARNAUDO Horne: i 209)835-2444 <br /> 16505 TRACY G LVD Shop 209)G,-)5--0403 <br /> TRACT', CA 93370" Mobile: (209)481-502B <br /> FOR RtaiFICTEIu iiATERIALS PERMIT USE ONLY <br /> Permit Type: Pose. Only ; ; Seasonal ; X ; Pols . & Use _; X ; Job <br /> Permittee Type: Q .A. Cert Ag. PCO Private App , X , Non-Ag <br /> NOI required 24 hours prior to applications <br /> i-,ie Li Tod: phone i X i box i X j person X ; modem i j fax i X j <br /> Numb --- --- -- <br /> - <br /> Pesticide -Pests) Form. ' Methods) Applicators) <br /> 1051 SEVIN Larvae Liquid Air Grour,d PCO Grower <br /> 1061 FURADAN Nematode Granules Ai.r Ground PCO Grower <br /> 1930 DIAZINON Larvae Liquid Air Ground PLIfJ urower <br /> 2000' DICAMBA Weeds Liquid Air• Ground PCO Grower- <br /> 430i 301 uI-GYSI"ON Aphid Liquid Air Ground PCO Grower <br /> 3630 i'IETHGt1IYL Larvae Liquid Air• Ground PCO Grower <br /> 3940 METHYL PARATHIO Larvae Liquid . Air Ground PCO Grower <br /> 484;D nLUt,IINi,N PHOSPH Rodents Fumigari t[. Ground PCO Q rower <br /> 5340 STRYCHNINE Gophers Bait Ground PCO Grower <br /> 62 " ) ZINC PHOSPHIDE Rodents Bait Ground PCO Grower <br /> 76 MCPA, D11METHYLA Weeds Liquid Air Gr•ourid PCO Grower <br /> 8041 2,4-DB Weeds Liquid Air Grourid PCO Grower <br /> 960.1. c,4-D AMINE Weeds Granules Grourid PCO Grower. <br /> .16011 PARAQUAT Weeds Liquid Ground PCO G rowe r <br /> :T:** Pesticides continued on next page <br /> Non-Ag Use; <br /> Conditions: P6 <br /> I-understand that, this permit does not relieve me from liability for any damage <br /> to persoris or property caused by the use of these pesticides . I waive any <br /> .claifri of liability for damages against the County Department of Agriculture <br /> based on the issuance of this permit. Ifurther understand that this permit <br /> may be revoked When pesticides are used in conflict with the manufacturer's <br /> labeling or in violation of applicable laws, regulations and specific <br /> conditions of ti'ils per•ffilL. I authorize inspection at all reasonable times and <br /> whenever an emergency exists, by the Department of Pesticide Regulation or the <br /> County Department of Agriculture of all areas treated or to be treate ge <br /> facilities for- pesticides or- emptied containers and equipment US ed be <br /> -used in the treatfnent , [Form ' 33-1 v3.53 (Rev . 02/16/90)�=,id .for m.ent <br /> Bran nj <br /> Perriit Applicant : '� Sign. <br /> Title: Date: <br /> T---•uing Officer. Date: <br />