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' SAKI JOAQUIN COUNTY <br /> 1868 E.HAZELTON AVENUE w 4 <br /> r <br /> STOCKTON, CA 95205- <br /> 4 E-email: Web:wvw.co.san.joaquirLC2.US/agC0= <br /> Office: (209)468-3300 Fax: (209)46$-3330 Recorder(NOI's): (209)463.3300 <br /> 1 <br /> t <br />' RESTMCUD mATERuLS PEP-Aur <br /> 39x05-39L�535 <br /> D:ONI�F.�O��I�NCH Peria�it Nulrib'er: <br /> � County District##: D <br /> • 0 130 i 3 <br /> LINDEN, CA 952369413 Ifiration;Date: December. 31,.2405 <br /> - Effective Date: <br /> i-I- <br /> r` JOHN DONL� O 6�"�otre Phone: R49 Q301317" <br /> 1700 N MURRAY RD 4aK ,Phone: (209)5$7-2756 <br /> LINDEN, CA 95236- Mobile Phone: a0t <br /> Fam <br /> Permittee Type: Private Applicator _N01 Method of Suhmissionc <br /> Permit Type: Seasonal Phone: X Far Bor X <br /> Possession: possession &Use Its Person: X Modem, '+deb: <br /> NOI reciuired 24 hours prior to application- <br /> I k <br /> i <br /> w <br /> F <br /> ----_.__.Conditions -AP,Q,U "__._,_. .___-..._ .._.._... . ___. .dee end ofperarit for a <br /> code deS*tions. <br /> ! I uilde%-Und that this permit does not relieve me Dom liability for any damages to any persons or property caused <br /> by the use of these pesticides. I waive any claims of liability for damages against ffie County Department of <br /> C Agriculture based on the issuance of this permit. I further understand that this permit may be resolved when <br /> pesticides are used in conflict with the manufacturer's labeling or in violation of applicable Iaws,regulations and <br /> specific conditions of this permit. I authorize inspection at all reasonable times and whenever an emergency exists <br /> by the Department of Pesticide Regulation or the County Department of A47icuiture of all areas treated or to be <br /> treated,storage facilities for pesticides or emptied containers and equipment used or to be used in the treatment. <br /> F, [Form PR-MTF- (Res. 07192)Pesticide Enforcement Branch] <br /> Permit Applicant: 4410 2 �'o'..�A;JCOXr Signed <br /> (Please Print) . <br /> Title: d r Issue Date: <br /> 4 (Please <br /> r Issft Deer: Issue Date: <br /> f <br />