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SAN JUAWUlN COUNTY <br /> 1868 E. HAZELTON AVENUE <br /> STOCKTON, CA 95205 2bo1 <br /> Ofsice: (209)468-3300 Recorder (NOI ) : (209)468-3300 FAX: (209)468-333( <br /> ----------------- <br /> REST2ICTED MATERIALS PERMIT Permit#: 39-01-390200. <br /> CCounty HQ District#: J <br /> ARNAUDO, B & B Expiration Date: 12/31/2001 <br /> 16505 TRACY BLVD Effective Date : 01/04/2001 <br /> TRACY, CA 95376- <br /> FRANK ARNAUDO Home: (209)832-850: <br /> 16505 TRACY BLVD Shop: (209)835-040E <br /> TRACY, CA 95376- Fan: <br /> Mobile: (209)481-502E <br /> ----------------- --------------- <br /> Permittee Type Permit Type Possession NOI Method of Submission <br /> -------------- ------------ -------------- -------------------------- <br /> Private App [X] Seasonal [X] Poss & Use [X] Phone [X] Fax [X] <br /> Q A Cert [ ] Job [ ] Poss Only C ] Box [X] Modem [ ] <br /> Ag PCO [ ] In Person [X] <br /> Non-Ag [ ] NOI required 24 hours prior to applicatior. <br /> ------------------------------------------------------------------------------- <br /> ------------------------------------------------------------------------------- <br /> Numb Pesticide Pest(s) Form. Method(s) Applicator(s) <br /> ----- --------------- ------------ -------- ---------------- ----------------- <br /> 1051 SEVIN LARVAE Liquid Air Ground PCO Grower <br /> 1061 FURADAN NEMATODE Granules Air Ground PCO Grower <br /> 2000 DICAMBA WEEDS Liquid Air Ground PCO Grower <br /> 2301 DI-SYSTON APHID Liquid Air Ground PCO Grower <br /> 3824 METASYSTOX-R APHID Liquid Air Ground PCO Grower <br /> 3830 METHOMYL LARVAE Liquid Air Ground PCO Grower <br /> 3940 METHYL PARATHIO LARVAE Liquid Air Ground PCO Grower <br /> 4840 ALUMINUM PHOSPH RODENTS Fumigant Ground PCO Grower <br /> 5540 STRYCHNINE GOPHERS Bait Ground PCO Grower <br /> 6260 ZINC PHOSPHIDE RODENTS Bait Ground PCO Grower <br /> ****** PESTICIDES CONTINUED ON NEXT PAGE ****** <br /> Non-Ag Use: _ -- <br /> Conditions: PQZ <br /> ------------------------------------------------------------------------------- <br /> ------------------------------------------------------------------------------- <br /> I understand that this permit does not relieve me from liability for any damage <br /> to persons or property caused by the use of these pesticides. I waive any <br /> claim of liability for damages against the County Department of Agriculture <br /> based on the issuance of this permit. I further understand that this permit <br /> may be revoked when pesticides are used in conflict with the manufacturer's <br /> labeling or in violation of applicable laws, regulations and specific <br /> conditions of this permit. I authorize inspection at all reasonable times and <br /> whenever an emergency exists, by the Department of Pesticide Regulation or the <br /> County Department of Agriculture of all areas treated or to be treated, storage <br /> facilities for pesticides or emptied containers and equipment used or touse <br /> in the treatment. [[Form PR-ENF-125 (Rev. 07/92) Pesticide Enfor� c ] <br /> Permit Applicant: Sign: <br /> Title: Y.. Date: 74 —Q1 <br /> Issuing Officer: Date: <br />