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Pau{{v SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br />2101 E EARI-IART AVE, SUITE 100 <br />STOCKTON, CA 95206 <br />.. t, .: <br />{ Office: (209) 953-6000 Fax: (209) 953-6022 <br />.; P • Email: stocktonag2@sjgov.org Web: vAvw.co.san-Ioaquin.ca.uslageomm <br />RESTRICTED MATERIALS PERMIT, 39-17-3904772 <br />Operator:MONDO, GENE <br />8300 MONDO LN <br />OAKDALE, CA 95361 <br />Agent:MIKE MONDO <br />Type of Use:Agricuiturat Use <br />Pesticide Possession: Possession and Use <br />Permit Duration:Seasonal <br />Permit Conditions:A, P, B. CIL <br />Regulatory Notes: <br /># 3904772 -2017 -Version: 1 <br />County District #:E <br />Issued ori,2% 912-0j%i� It <br />Valid as of: )-/)-0-/)Q►r� <br />Expires on: 12/31/2019 <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 />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. t 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 -F -NF -12.5 (Rov 11106) Pesticide Enforcement Branch) <br />Applicant: MLL�� alb v _C" � A <br />(Name 7i11e) <br />Applicant Signature Date: a twvj tt� <br />issuing Officer Date: <br />Page 1 <br />