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SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE 201"1 <br />2101 E EARHART AVE, SUITE 100 <br />STOCKTON, CA 95206 <br />Office: (209) 953-6000 Fax: (209) 953-6022 <br />Email: stocktonag2@sjgov.org Web: Lvww.co.san-joaquin.ca.uslagcomm <br />RESTRICTED MATERIALS PERMIT: 39-17-3900236 <br />Operator:LAGORIO, V& A <br />14625 E COMSTOCK RD <br />LINDEN, CA 95236- <br />Agent:LAG0RI0,VIC <br />Type of Use:Agricultural Use <br />Pesticide Possession: possession and Use <br />Permit Duration:Seasonal <br />Employees Handle Pesticides <br />Permit Conditions:A, P, Q, V, 0, Y, W, 13, D, QL, M <br />Regulatory Notes: <br /># 3900236 -2017 -Version: 1 <br />County District #:D <br />issued on: 7 <br />Valid as of: ' Z (bl % <br />Expires on:12/31/2017 <br />Primary Phone: <br />Alternate Phone: <br />Mobile Phone: <br />Fax: <br />Notices Of Intent required 24 hours prior <br />to application of pesticide containing <br />restricted materials <br />See condition detail for <br />code descriptions. <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 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 />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 />[Form PR-ENF-125 (Rev 11106) Pesftlde Enforcement Branch] <br />Applicant: j c <br />Applicant Signature: <br />Issuing Off <br />Page 1 <br />Date: X1-11 i L2 <br />--r <br />Date:%r it lj� <br />f <br />