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SAN JOAQU I N COUNTY <br /> 1868 E. HAZELTON AVENUE <br /> STOCI,:.'TON, CA 952(--)5 <br /> r' f i ce: (209)468-�'OC� Recorder (NOI ) : ('209)468-3300 FAX : (2'09)468-377.0 <br /> RES)TRICTED MATERIALS PERMIT PERMIT/OPERATOR I .D. #: 39-98-')904187 <br /> County HLA District #: E <br /> dOEHRING FARMS Expiration Date: 12/'1/20-d00 <br /> _ODI , CA 9524i?- <br /> 1 :7 1 N CURRY RD Issue Date: ;///� J <br /> EI__WARD GOEHR I NG Home: (209)=6B-4612 <br /> 137'y1 N CURRY RD Shop: ( )-ODI , CA 9101240- Mobile: <br /> FOR RESTRICTED MATERIALS PERMIT USE ONLY <br /> 'ermit Type: Pass. Only [ ] Seasonal [X] Pass. & Use [ X] Job [ ] <br /> 'ermittee Type: D.A. Cert [ ] Ag . PCO [ ] Private App [X] Non-Ag [ ] <br /> NOI required 24 hours prior to application . <br /> 1ethod : Phone [X] Dox [X] Person [X] Modem [ ] Fa;; [ ] <br /> NUML Pesticide Pest(4)- --_--Form. ----Method(s)--------App1iGator(s )----- <br /> --------------- ------------ -------- ---------------- ----------------- <br /> -')'��1 SEVIN Larvae Liquid Ground PCO Grower <br /> 2591 THIODAN Larvae Liquid Ground FCO Grower <br /> 5540 STRYCHNINE Gophers Bait Ground PCO Grower <br /> .6011 PARAQUAT Weeds Liquid Ground PCO Grower <br /> ?-3571. NEMACUR Nematode Fumigant Ground FCO Grower <br /> Non-Ag Use: <br /> conditions: PU <br /> ---- ------------ <br /> ------------------------------------------ <br /> i understand that this permit does not relieve me from liability for any damage <br /> to persons or property caused by the use of these pesticides. I waive any <br /> laim of liability for damages against the County Department of Agriculture <br /> :used on the issuance of this permit. I further understand that this permit <br /> in-ay be revoked when pesticides are used in conflict with the manufacturer' s <br /> abeling or in violation of applicable laws, regulations and specific <br /> onditions of this permit. I authorize inspection at all reasonable times and <br /> wi--enever- an emergency exists, by the Department of Pesticide Regulation or the <br /> `-!Dunty Department of Agriculture of all areas treated or to be treated , storage <br /> -(Cilities for pesticides or emptied containers and equipment used or to be <br /> :sed in The treatment. [Form "-125/v.3. 5? (Rev. 02/16/90) Pesticide Enforcement <br /> Brat )h-1 <br /> ermit Applicant: L` C'--C C� L �� .�n Sign . <br /> 1 j �/rC <br /> Titl _ . Date: <br /> �!-I�'=u].nGj Officer: _- L/i _ Date: <br />