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SAN <br /> 18681~ 1iAZELTt?N AVEtiTE, 2006 <br /> STOCT;T0N- CA 95245- <br /> I <br /> -mail. 'Web www.: sari-;oassi:ca;ulagcomm <br /> Office: (209)468.3300 Fast: (,209)468.3330 Fec a•der"'Nol'st: (209)468.3300 <br /> RESTRICTED MATERIALS PERNTIT <br /> MIZDNO FARMS Permit Number: 39-06-39G2124 <br /> 29050 A1-IEPN I RD Coimty District #: I <br /> TRACY, CA 95304- Expiration Date: DeCiMbeE 31, 2006 <br /> Effective Date: <br /> CLARE' MIZIINO Howe Phone: OFF 835-515 <br /> 29050 AFMRN RD Shop Phone- (2109) 8341-5154 <br /> TRACY, CA 95304- Mobile Phone: (209)483-2$130 <br /> Fax: <br /> Permittee T4,ypr: Priuute Applicator N01 Method of Submission: <br /> Pennit Type: Sewsonal Phone: X Fax: X Pox: <br /> Possession: Possession & Use In Person: X Modear Web: =� <br /> NOI required 24 hour prior to application. <br /> Conditions: A,P.Q <br /> See end of pptmit for <br /> code descriptions. <br /> I u:idet—.land that this pe snit demos not relieve roe From liability for any damage g to any persons or piety cause <br /> by the use of these pesticides. I waive any claims of liability for damages against.the County Department of <br /> Ass r1cuItw-e b aseni exi t11ie i auance of this p en-n it. I furtl-ier under--and that this permit may be,•evoked when <br /> ti vides are used in conflict with the ma;iufac tur&'s labelifig or in violation of applicable laws.,regWabaas and <br /> vecific conditions of this per-reit. I autlii-eine inspe2tion at all reasonable times and whenever an emergency exists <br /> by the Departme-it of Pesticide Regulation or the County Department of Agriculture of all areas treated or to be <br /> treated,stowage facilities for pesticides or emptied cc ntainets and equi-rnent used or to be used in the treatment <br /> [Fo n FR-ENF-12j' (Rev.07191)Pesticide Enfez cernent Branch J. <br /> Peri tut Appliemt tf!e�� Siglied: <br /> ( ease Prink) <br /> Title: �F� Issue Date: <br /> (Please Font) <br /> Issuini +�17icer: Issue Date: <br />