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our SAN JOAOUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br /> 2101 E EARHART AVE, SUITE 100 <br /> c STOCKI"ON. CA 95206 <br /> Office: (203)X53-6000 Fax: (209)953-6022 <br /> .._ p Email: stocktonag2@sjgov.org Web: Nww.co.san- <br /> c ;oaquin.ca.uslagcomm -1011 <br /> RESTRICTED MATERIALS PERMIT! 39-12-3902127 <br /> operator: NAVARRA RANCH. C &A #3902127-2012-Version 1 <br /> 475 RLENJETT RO County O!stnct#. A <br /> TRACY, CA 95304- Issued on: I —-:30 - <br /> Valid as ofz <br /> Attention: NAVARRA,CARL B Expires onr <br /> Home Phone: <br /> Office Phone: <br /> Mobile Phone: <br /> Fax: <br /> Type of Use: Agricultural Use Notices Of Inle-ll required 24(tours <br /> Pesticide prior to application of pesticide <br /> Possession: containing restricted materials <br /> Permit Duration: Seasonal <br /> Employees Handle Pesticides <br /> Conditions: A, P. Q, O, W See condition deta I <br /> for code descriptions. <br /> Regulatory Notes: <br /> I understand that this permit does nct relieve me from liability for any damages to any persons or property caused ty the <br /> use of these pesticides. I waive any claims of liability for damages against the County Department of Aglculture based <br /> or the issuance of this permit. I further understand that this permit may be revoked when pesticides are used in conflict <br /> with the manufacturers labeling or in violation of appicable laws, regulations, and specific ccnditions of this perm@. I <br /> authorize inspection at al! reasonable limas and whenever an emergency exists by the Department of Pesticide <br /> Regulation or the County Department of Agriculture of all areas treated or to be treated,storage facilities fo-pesticides or <br /> emptied containers and equipment used cr to be used in the oeatment. I have considered alternative and mitioa+ion <br /> measures pursuant to Title 3,California Code of Regulations,sectlon 6426. Taking into account economic, <br /> environmental,social. and technological factors, I have adopled those that are feasible and would substantially lessen <br /> any significant adverse impact on the environment. <br /> rForrs PR-ENF-125(Rev 11106)Pesli=ide Enforannent Hmncfl <br /> Applicant: Q, aF r res,di-'i S C�3ikwr ucM +c <br /> (Nana �Qi 7 r <br /> Applicant Signature: _ Date: <br /> Issuing Officer Ga=E: <br /> f Z <br /> Page 1 <br />