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3400 – Cannabis Program (Commercial)
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PR0547840
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COMPLIANCE INFO
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Entry Properties
Last modified
1/16/2025 11:24:44 AM
Creation date
7/30/2024 4:16:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3400 – Cannabis Program (Commercial)
File Section
COMPLIANCE INFO
RECORD_ID
PR0547840
PE
3440
FACILITY_ID
FA0027265
FACILITY_NAME
GREENE BROTHERS FARM
STREET_NUMBER
12470
STREET_NAME
LOCKE
STREET_TYPE
RD
City
LOCKEFORD
Zip
95237
CURRENT_STATUS
01
SITE_LOCATION
12470 LOCKE RD
P_LOCATION
99
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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SAN JOAQUIN <br /> COUNTY <br /> Greatness grows here. Letter of Authorization <br /> TO: San Joaquin County Agricultural Commissioner <br /> FROM: Aaron Greene, Greene Brothers Farm, Inc CEO <br /> Property Operator's Printed Name Operator's Title(Le.Owner,Leesee,President,CEO) <br /> 75 N Main St PMB 223 Willits CA 95490 <br /> Mailing Address City State Zip Code <br /> (707)671-3754 doubleagreene@gmail.com <br /> Primary Phone Email <br /> Permit/Operator Identification Name Permit/Operator Identification Number <br /> PROPERTY OPERATOR: <br /> I certify that I am the Operator of the Property to be treated,as defined in section 6000 of the Title 3,California <br /> Code of Regulations. <br /> The Authorized Representative named below is authorized to represent me in obtaining a Restricted Materials <br /> Permit(RMP)or Operator Identification Number(OIN)for use in San Joaquin County.I further certify that I am <br /> the Operator of the Property to be treated,as defined in section 6000 of the Title 3,California Code of Regulations. <br /> As the Operator of the Property,I understand that this authorization does not relieve me of liability for violations <br /> of pesticide laws or regulations on my property and that, I am responsible for compliance with all permit <br /> conditions.This authorization shall remain in effect until I revoke it in writing or until the authorized representative <br /> withdraws his/her authority in writing to the Agricultural Commissioner. <br /> Property Operator Signature:�rpD 18Yd.'02314:39PDT) Date: <br /> AUTHORIZED REPRESENTATIVE: <br /> I am the property operator's: ❑ Employee ❑ Relative ❑ PCA M Other: General Counsel <br /> Zach Drivon General Counsel <br /> Authorized Representative's Printed Name Authorized Representative's Title(Le.Owner,Leesee,President,CEO) <br /> 209-636-4856 zach@drivonconsulting.com <br /> Primary Phone Email <br /> I hereby certify that the information above is correct to the best of my knowledge. I also understand that,in the <br /> event of violations of pesticide laws or regulations, I could be held liable either separately or together with the <br /> property operator. <br /> zachai-ti Aiyoi? May 10,2023 <br /> Authorized Representative Signature:zacharydrivon May 10,202316:38 PDT) Date: <br /> Related regulations: <br /> 3CCR 6420(a)Permits for agricultural use of a restricted material shall be issued in the name of the operator of the property <br /> to be treated.The permittee or, when allowed by the commissioner,the permittee's authorized representative or licensed <br /> agricultural pest control adviser, shall sign the permit. The authorized representative or licensed agricultural pest control <br /> adviser shall provide the commissioner with written documentation from the permittee to act on his/her behalf. <br /> 3CCR 6000"Operator of the property"means a person who owns the property and/or is legally entitled to possess or use the <br /> property through terms of a lease,rental contract,trust,or other management arrangement. <br /> Rev.12/2022 <br />
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