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SAN,JO/i!OUIIN COUNTY A(_,RIC;l1L11URAt COMMISSIONERS OFFICE <br /> r <br /> 2101 E EARHAFT AVE„SUITE IGO <br /> �.�u�� <br /> ST�KI-ON,C�€9�52CO <br /> �., offAice: ((209)9'53.60M Fax (209)953-6072 <br /> r9� Erg-;M: stock1onaq2@*gcv-.org Web: wurrrs.ccr.san--{rtua ndn¢a.usfiag ormrrn <br /> RESTRICTED MATERIALS PERMIT: 39-19--3900137 <br /> Operator:F 3 F D ORCHARDS #3900137-2019-Version. 1 <br /> P O BOX 1P.5 County District#,.D <br /> 111Jf)F-N CA 95235- Issued on Wi2319 <br /> Valid as of:2 7/2,319 <br /> Agent:DE BENEDETTI,FRA114K Expires on:1213112021 <br /> Primary Phone: (209) 887-331 i <br /> Alternate Phone: ( ) <br /> CA Mobile Phone: <br /> Fax: (209) 887-2877 <br /> Type of Use:Agrieultural Usc. <br /> Notices Of Intent requi!red 241 hours prior <br /> Pesticide Possession:possession and Use to application of cesticide containing <br /> Permit Duration:Muiti-Year restricted materials <br /> p stici'des <br /> Permit Conditions:C,Appendix C,Appendix Ft, 0 See candition detail foir <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 Agrieulture based on <br /> the issuance of this permit. I further understand that this permit may be revoked when pesticides are used in conflict:^nth <br /> tine manufacturer's labeling or in violation of applicah!e v&s. 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 Me treatment. I have considered alternative and mitigation measures <br /> pursuant 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 fusible and would substantially lessen any significant adverse <br /> impact on the environment. <br /> iForm PR-F-NF 125 (Rev 11:06)Pesocide Fnforrerneris Erarc 'j <br /> Applicant Fy/�a� lJi: ,� r'✓ �•:" TTS L ew'V'_4 <br /> ;Iva&7i11sry <br /> Applicant Signature: ,. -.�,ss�.e ,(p'i�.��` Date: <br /> Issuing Officer: /G{ceder (7 Date: Q _ Q <br /> Page 1 <br />