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SAN JOAQUIN COUNTY <br /> 1369 E . HAZELTON AVENLE <br /> STOCKTON, CA 95205 <br /> Office : (209)468-3300 Recorder (NOI ) (209)468-3300 FAX : (209)468-3330 <br /> -TSTRICTED MA7ERIALS PERMIT PERMIT/OPERATOR I . D . #: 39-97-3904187 <br /> County HQ District # : E <br /> GOEHRING FARMS Expiration Date: 12/31/97 <br /> 13721 N CURRY RD Issue Date : <br /> LODI , CA 95240- <br /> ELWARD GOEHRING Home: (209)368-4612 <br /> 13721 N CURRY RD Shop : <br /> LODI , CA 95240- Mobile : <br /> FOR RESTRICTED MATERIALS PERMIT OSE ONLY <br /> srmit Type: Poss . Only | | Seasonal | X | Poss . & Use | X | Job | | <br /> rermittee Type: Q.A. Cert | | Ag . PCO | | Private App | X | Non-Ag | | <br /> NO! required 24 hours prior to application . <br /> ethod : phone | X | box | X | person | X | modem | | fax | | <br /> Numb Pesticide Pest(s) Form. Method (s ) Applicator ( s ) <br /> ---- --------------- ------------ -------- ---------------- ----------------- <br /> 351 SEVIN Larvae Liquid Ground PCO Grower <br /> 1061 FURADAN Nematode Dust Ground PCO Grower <br /> 1360 CHLOROPICRIN Nematode Fumigant Ground PCO Grower <br /> 591 THIODAN Larvae Liquid Ground PCO Grower <br /> "691 MANED DUST Fungi Dust Ground PCO Grower <br /> 3850 METHYL BROMIDE Soil/Stored Fumigant Ground PCO Grower <br /> 540 STRYCHNINE Gophers Bait Ground PCO Grower <br /> 6011 PARAQUAT Weeds Liquid Ground PCO Grower <br /> 18571 NEMACUR Nematode Fumigant Ground PCO Grower- <br /> Non-Ag <br /> rowerNon-Ag Use: <br /> onditions: PWU <br /> ============================================================================== <br /> I understand that this permit does not relieve me from liability for any damage <br /> ^o 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 /> "ased on the issuance of this permit . I further understand that this permit <br /> may 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 /> whenever an emergency exists, by the Department of Pesticide Regulation or the <br /> -ounty Department of Agriculture of all areas treated or to be treated , storage <br /> acilities for pesticides or emptied containers and equipment used or to be <br /> used in the treatment. [Form 33-125/v3. 53 (Rev. 02/16/90 PTOrcqxon <br /> pranch] <br /> ermit Applicant: ^- / � Sig <br /> Title: Datef—ei le""o-e-4 <br /> : <br /> Issuing Officer: <br /> u'-~--_ �--------�=~-- '---------------------------- <br />