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Pq�IN SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br /> 2101 E EARHART AVE, SUITE 100 <br /> STOCKTON,CA 95206 <br /> .. Office: (209)953 6000 Fax: (209) 953-6022 <br /> �•:;:; `P Email: stocktonag2@sjgov.org Web: %wjw•co.san-joaquln.ca.tislagcomm <br /> i <br /> 4�1Fo' � i <br /> I <br /> i <br /> RESTRICTED MATERIALS PERMIT: 39-16-3900137 <br /> Operator:F & F D ORCHARDS #3900137-2016-Version: 2 j <br /> 21360 WALNUT DR County District#:D <br /> LINDEN, CA 95236- Issued on: �(� <br /> Valid as of:7/1 f/2016 <br /> 16 <br /> Agent:DE BENEDETTI,FRANK Expires on:1213112018 <br /> Primary Phone: <br /> Alternate Phone: <br /> Mobile Phone.- <br /> Fax: <br /> hone:Fax: <br /> Type of Use:Agdcuitural Use Notices Of Intent required 24 hours prior <br /> Pesticide Possession:Possession and Use to application of pesticide containing <br /> Permit Duration:Seasonal restricted materials <br /> Permit Conditions:A,P,Q, O,Y,W, B,C,D,QL,M 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 on <br /> the issuance of this permit. I furher 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 limes 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 /> 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 feasible and would substantially lessen any significant adverse <br /> impact on the environment. <br /> [Foran PR-ENF-125(Rev 11106) Pesticide Enforcement Branch] <br /> Applicant: � .��� © 461 f�H <br /> (Name E Title) <br /> `7Applicant Signature: - 3� Date: "f <br /> Issuing Officer <br /> (? �( ,� / � G�-•'�- Date: <br /> Page 1 <br />