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SAN JOAQUIN COUNTY <br /> 2101 E FARUART_SUITE 100 20:11 <br /> STOCKTON, CA 95206- <br /> Web:www co.san-joagWhca.ustagco= <br /> Office: (309)953-6000 Fax:(209)953-€022 Recorder(NaI's):P09}953-6000 <br /> FRESIRICTED MA MIAT JS PFMTt <br /> ?.0l.F_77.T M Rt..R Permit Nnmbpr- 39-11-3900506 <br /> Fi <br /> 14R07 F. R MTT.F ROAT? County District#: T) <br /> Fil' <br /> T.TN)FN CA 957165- Expiration Date. December 31, 2011 <br /> Effective Date: January 1 <br /> jAqft <br /> RT MART) 7OT.F77.T <br /> Horne Phone: (209)911-07.91 <br /> F. 1487 F R MTT.F ROAT) Shop Phone: f 1 <br /> T.TId(1Ft+T CA 957165- Mobile Perone: f 1 <br /> FFax: f7.001911_9511 <br /> Permittee Type: Private Applicator NOI Methad d Surmiissioaa: <br /> Permit Tvae: 'Reaq nal Phone: Y Fag: X Baa: <br /> Possession: Possession &Use In Person: X Web:3f Madenz 1 <br /> FNOI required 24 hours orior to aoofication. <br /> F <br /> Condittook A,P,Q U,W See end of permit for <br /> F" code descriptions. <br /> ------------------------------------------------ <br /> -----_ <br /> I understand that this permit does not relieve me from Iiability for any damages to any pasom or property caused <br /> by the use of these pesticides I waive any claims of liability for damages against the Cauity Department of <br /> Agriculture based an the issuance of this permit. I further understand that this pewit maybe revelced whm <br /> pesticides are used in conflict with the rnm3ufacti rer's labeling or in violation of applicable laws,reguiatims and <br /> specific conditi ns of this permit. I authorize inspection,at all reasonable times and whenever an emergency acrd= <br /> F by the Department of Pesticide Regulation or the County Department of Agriculture of all areas treated ar to be <br /> treated,storage facilities for pesticides or emptied cantainers and equipment used or to be used in the treatment. <br /> FI have considered alternatives and mitigation measures pursuant to Title 3,California Cade of Regulations,section 5426 <br /> Taking into account eccrinnnic,elvircmental,wdal,and tedmological factors,I have adopted those that are feasible <br /> and would substantially lessee any significant adverse impact on the envirom wnt. <br /> [Form FR ENF-125 (Rev. I 1105)Pesticide Enforcement Branch] <br /> F1Az� <br /> Permit Applicaut Signed: <br /> lease Print} <br /> F'i <br /> Tide: rpt Issue Date: 1 ' 16 ~ a <br /> F <br /> Issuing DfT'ie _ issue Date: rl ZU� <br />