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quip SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br /> �E'•.o <br /> 2101 E EARHART AVE, SUITE 100 <br /> STOCKTON, CA 95206 <br /> a: z <br /> Office: (209) 953-6000 Fax: (209) 953-6022 <br /> Email: slocktonag2@sjgov.org Web: aww.w.san-loaquln.causlagcomm <br /> RESTRICTED MATERIALS PERMIT: 39-21-3905501 <br /> Operator:BLAGG FAMILY FARMS #3905501-2021-Version: 1 <br /> 12630 ATKINSON RD. County District ME <br /> Lodi, CA 95240 Issued on:11/25I2020 <br /> Valid as of:1/1/2021 <br /> Agent:TYLER FLAGG Expires on:12/312021 <br /> Primary Phone: - <br /> Alternate Phone: <br /> Mobile Phone: <br /> Certified Applicator: BLAGG, TYLER S E <br /> 12630 ATKINSON RD License#:3911146 <br /> LODI, CA 95240 Expiration:1121312021 <br /> Type of Use:Agdcultural Use <br /> Pesticide Possession: Notices Of Intent required 24 hours prior <br /> Possession and Use to application of pesticide containing <br /> Permit Duratlon:Seasonal restricted materials <br /> Permit Conditions:Appendix C, Q, QL, R, P See condition detail for <br /> code descriptions. <br /> Regulatory Notes: <br /> -----------------------------------------------------------------------------------------_----------------------""""-'"'""-------' <br /> I 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. I 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-ENF-125 Rev 11106 Pesticide Enforcement Branch <br />