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i <br /> !868 H . HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> �,=4•�a i f 1 - <br /> f3.G'e ; ( 2C9 ) 468-3300 R..:tri"rd (Pti01 ) 4 - '=i <br /> RESTRICTED-MATERIALS-fir-ori_m-.......__---------------- PERMTT # , 39-02-3902127 <br /> {p Cou�F Lr Hg District 4 . ••T4 <br /> - <br /> 6 <br /> T=SB.?:iARRA RANr" C _ Expiration Date:: 12/31Y200 <br /> 475 ;BLESwE T RDEf fICtWe Dame 1 + <br /> w <br /> TRACY . CA 95304- GQ�(72�"Lsvi� <br /> r! CARL B NA`y=AP A Home :: 209 ) 836-0X105 <br /> ' <br /> TRACY. CA 95304- Far€, 836-1348 <br /> El <br /> Mobile . ( 209 ) 471-751i --_- ____ _- ---- ___ _ <br /> fn Permittee TypO =Pani) pf=a�•�=.=-' <br /> e rion i�O Method od of Submission <br /> Private APPJX1 S'e_aonal {-�i Poste•-F�.YUse I I i�'ioF'tG'_ --_-���----� � <br /> Q A Cert job noz a only Box modem J X 1 <br /> Ag PCO in Person JXi Web I I <br /> NOI required 24 hours prior to applicat?c_. <br /> Nola-- .g Use ! None <br /> T understand that this xpermit-:zoos not relieve me TT'ClS7 liability for any daT_i1. ge--- <br /> to persons =1r property cc need by the use of these pesticides . i tf s ivG any <br /> { <br /> claim of liability for damages against th, County Department of Agriculture <br /> based on the issuance of this permit . i further understand that this pQr-ni t <br /> may be revoked when -pesticides are used in conflict with the manufoctuzer ' a!: <br /> labeling or in violation of applicable laws, regulations and specific <br /> j^} conditioil8 of this permit . I .authorize im8pe'ction at all reasonable times and <br /> S <br /> whenever an emergency <br /> m -- ex ist by the Department tsylent of Pesticide Re sulation of t�'e <br /> County l.y D pai tmtint _i l �_t.7ri ci l Lure of all ,_it e_= _ treatedo to be trea 1,�'r.,:, •' at'oagE- <br /> facilities for pesticides or emptied containers and equipment used or to be __ - <br /> � <br /> in the [Form l -ENF-_2 J (Rev . 07/92 ) Pesticide Enforcement Branch] <br /> j <br /> Permit A li _a t . (lar l E\lcwc'-f-rc <br /> � ! Title : Fs �! �u D_ e : _ 2. —�_ <br /> Issuing Officer ! Issue Date <br /> Page <br /> ! y . <br />