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4. SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br /> aP n <br /> > � c 2101 E EARHART AVE, SUITE 100 <br /> STOCKTON, CA 95206 <br /> Office: (209)953-6000 Far (209) 953-6022 <br /> ird r c Email: slocktonag2@sjgov.org Web: �vw.&an-loaquln.ca.us/agmmm <br /> y8e�' <br /> RESTRICTED MATERIALS PERMIT: 39-19-3905501 <br /> Operator:Blagg Family Farms #3905501-2019-Version: 1 <br /> 12630 Atkinson Rd. County District#:E <br /> Lodi, CA 95240 Issued on:1M/2019 <br /> Valid as of.1/28/2019 <br /> AgentBlagg, Tyler Expires on:12131/2019 <br /> Primary Phone <br /> Alternate Phone: <br /> Mobile Phone: <br /> Fax: <br /> Certified Applicator: BLAGG, TYLER S <br /> 12630 ATKINSON RD License MW <br /> LOM, CA 95240 Expination:12131/2021 <br /> Type of Use:Agricultural Use Notices Of Intent required 24 hours prior <br /> Pesticide Possession:Possession and Use to application of pesticide containing <br /> Permit Duration:Seasonal restricted materials <br /> Permit CondltlonS:Appendix C,Appendix H, OL See condition detail for <br /> code descriptions. <br /> Regulatory Notes: <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 /> lForm PR-ENF-125(Rev 11106)Pesticide Enforcement Branch] <br />