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SA OAQUIN COUNTY AGRICULTURAL CO IISSIONERS OFFICE <br />2101 E EARHART AVE, SUITE 100 <br />STOCKTON, CA 95206 <br />Office: (209) 953-6000 <br />Email: stocktonag2@sjgov.org <br />RESTRICTED MATERIALS PERMIT: 39-21-3900062 <br />Operator: CAFFESE, EUGENE <br />5475 VAN ALLEN RD <br />STOCKTON, CA 95205 <br />Agent -EUGENE CAFFESE FARMS <br />Certified Applicator: CAFFESE, EUGENE <br />5475 VAN ALLEN RD <br />STOCKTON, CA 95205 <br />Type of Use:Agricultural Use <br />Pesticide Possession: Possession and Use <br />Permit Duratlon:Seasonal <br />Employees Handle Pesticides <br />Permit Conditions:Appendix c, Appendix H, Q, cit-, R <br />Regulatory Notes: <br /># 3900062 -2021 -Version: 1 <br />County District #:D <br />Issued on: 11/23/2020 <br />Valid as of:1/1/2021 <br />Expires on: 12/31/2021 <br />Primary Phone: <br />Alternate Phone: <br />Mobile Phone: <br />Fax: <br />Phone <br />License #:3999646 <br />Expiration: 12/31/2021 <br />Notices Of Intent required 24 hours prior <br />to application of pesticide containing <br />restricted materials <br />See condition detall 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 -EN F-125 (Rev 11106) Pesticide Enforcement Branch] <br />Applicant: ����� rp <br />(Namo & 1FRlo) <br />Applicant Signature:p �� Date: <br />Issuing Officer�� ,�j Date: �Y f 23 Dso <br />Page 1 <br />