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SAN JOAQUIN COUNTY 1868 E. HAZELTON AVENUE Zr STOCKTON, CA 95205 FAX--(209)468-3330 Office: (209 )468-3300 Recorder (NOI )_-(209)468'3300 = �i -_------------------------------_-_____--- -_--__- �#:-39-01-390127 RESTRICTED MATERIALS PERMIT Permit #: HQ District#: J FNAVARRA RANCH, C & A Expiration Date: 12/31/20Q1 475 BLEWETT RD Effective Date 01/18!2001 TRACY, CA 95304- CARL B N�VARRA Home: (209)836-OOOE Shop: (209)836-000,' 4'75 BLEWETT RD ! TRACY, CA 9304- Fax: 836-1348 _ Mobile: (209)471-7551 Permittee-Ty pe====Permit-Type Possession _ -- NOI Method of Submission --- ------ — --- -- --------_--- -�------------_- -_-__------_-__-_--__-_--- Private APP CX7 Seasonal [XI Poss & Use [X1 Phone [X1 Fax [x] Q A Cert C Job C 7 Poss Only C 7, Box EX] Modem [X] Ag PCO E J In Person EX7 Non-Ag [ 7 -------------NOI required 24 hours prior to applicatiol � (s Numb Pesticide -_-_-Pests) �__--Form-__ Method(s) ) _-____- -_plicaApplicator(s) 1051 SEVINLARVAE ---- �----_---- --_-- Liquid,_ Air Ground PCD Grower 1360 CHLOROPICRIN NEMATODE Fumigant Ground PCO Grower 2000 DICAMBA WEEDS Liquid . Air Ground PCO Grower - 2341 DI-SYSTON APHID Liquid Air Ground PCO Grower 3141 GUTHION MITES Liquid Air Ground PCO Grower 3630 METHOMYL LARVAE Liquid Air Ground PCG' Grower 3850 METHYL BROMIDE SOIL/STORED Fumigant Ground PCO Grower 3940 METHYL PARATHIO LARVAE Liquid Air Ground PCO Grower 4041 MOCAP SYMPHYLAN Liquid Ground PCO Grower 4782 THIMET APHID Granules Air Ground PCO Grower PESTICIDES CONTINUED ON NEXT PAGE ** Non-Ag Use: Conditions: PQWZ CH3BR FOR TREEHOLE ONLY I-understand that-this-permit does-not relieve me from liability for any damag( to persons or property caused by the use of these pesticides. I waive any claim of liability for damages against the County Department of Agriculture based on the issuance of this permit. I further understand that this }permit may be revoked when pesticides are used in conflict with the manufacturer's. labeling or in violation of applicable laws, regulations and specific conditions of this permit. I authorize inspection at all reasonable times and whenever an emergency exists, by the Department of Pesticide Regulation or the County Department of Agriculture of all areas treated or to be treated, stnrag{ facilities for pesticides or emptied containers and equipment used or to beust i in the treatment. [Form PR-ENF-125 (Rev. 07192) Pesticide Enfprcement Branch] ,,. Permit Applicant: CA1�Flag&A Sign: Title: Date: Issuing Officer: i Date: , r7 L;