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SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br /> 2101 E EARHART AVE, SUITE 100 <br /> w < STOCKTON, CA 95206 <br /> Office: (2.09) 953-6000 Fax: (209) 953-6022 <br /> c�• �P <br /> Email-, stocktonag2@sjgov.org Web: www.co.san-joaquln.ca.us/agcomrn <br /> RESTRICTED MATERIALS PERMIT: 39-18-3904253 <br /> Operator:KAUTZ FARMS, JOHN #3904253-2018-Version: 1 <br /> 5490 BEAR CREEK ROAD County District#:E <br /> LODI, CA 95240 Issued on: <br /> Valid as of:11112818- <br /> Agent:JOE VALENTE Expires on:12/31i201&,7,.6 C:) lam <br /> Primary Phone: <br /> Alternate Phone: <br /> Mobile Phone: <br /> Fax: <br /> Certified Applicator: VALENTE, GARY J Phon <br /> 13699 N t-IWY 88 License#:3900549 <br /> LODI, CA 952.40 Expiration:12/31/2020 <br /> Type of Use:Agricultural Use <br /> Notices Of Intent required 24 hours prior <br /> Pesticide Possess ion:Possession and Use to application of pesticide containing <br /> Permit Duration:Multi-Year restricted materials <br /> Employees Handle Pesticides <br /> Permit Conditions:& GWP-L2, GWP-13, P,Q,Y.W, B,QI. See condition detail for <br /> codo descriptions. <br /> Regulatory Notes: <br /> --------------------------------------------------.------------------------------------------------------------------------------------- <br /> I understand that this permit does riot relieve ine 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 on <br /> the issuance of this permit. I further understand that this permit may be revoked when pesticides are used in conflict with <br /> the manufacturer's labeling or in violation of applicable laws, regulations, and specific conditions of this permit. I authorize <br /> inspection at all reasonable times and whenever an emergency exists by the Department of Pesticide Regulation or the <br /> County Department of Agriculture of all areas treated or to be treated, storage facilities for pesticides or emptied <br /> containers and equipment used or to be used in the treatment. I have considered alternative and mitigation measures <br /> purst.tant to Title 3, California Code of Regulations, section 6426. Taking into account economic, environmental, social, <br /> and technological factors, I have adopted those that are feasible and would substantially lessen any significant adverse <br /> impact on the environment. <br /> (Form PR-ENF-125(Rev 11/06) I'osticide Enforcement Branch] <br /> Applicant: <br /> (WrK&Title) <br /> Applicant Signature: ���J C, Date: ' -•- _�"f�� _ <br /> Issuing Officer: Date: <br />