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ARNA"VW, B & B Permit#: 39-01-3902007 <br /> - ---------------------- -------------- --------------------------•------___- <br /> WORXERS SAFETY SERIES ATTACHED <br /> --------------------------- --------------------------------- <br /> CXR A-.1 through A-9 General Info. ; 1-1 B-1- i`;holinesteraea Testing--�_-- <br /> ------------------------ <br /> ----------------------- <br /> PERMIT CONDITIONS ATTACHED <br /> ------------------------------------------------ <br /> [XI P - General ---------- <br /> LXI A = Dicamba cu Phenoxy Herbioides - Central Valley/Hazardous Area <br /> 1_3 R - Dicarrba & Phenoxys - Special Hazardous Area <br /> [_I S - Metam Sodium (Vapam) <br /> C-3 T - Aldicarb (Temik) <br /> [_I U - Endosulfan (Thiodan.) <br /> t_I '✓ - Rice Pesticides Program <br /> L-A Molini*te (iirdram) Worker :safety <br /> C_I Attachments 1-9: Molinate ( 1 ,6) thiobencarb (2,6,7) , carbof- ran <br /> (0,6) , me-thylpar•athion (4,9) and malathion %voluntary: 5 ;8 ) <br /> !_3 W - Methyl Bromide <br /> Soil within gr•eenhoue;es <br /> L-I Commodity <br /> L_I Soil tn,3ection <br /> L_7 Tarped _patting aoil <br /> C_I Single tree site <br /> [-I X - Furadan ahemigation of gra-pes <br /> [XI Z Other <br /> PESTICIDE SAFES: GROUNDWATER PRt?TECTION <br /> ^ - <br /> L-] The material Iam purchasing will-not-be used in a Peoticide-Managezient ^ <br /> Zone (as described in Section 6802, Title :1, California Code of Reg- <br /> ulations) for agricultural, outdoor institutional or outdoor ,industrial <br /> use. <br /> :_.3 The material I am purchasing will be used in a Pesticide Management Zona <br /> (as described in Section 6802, Title 3, California Code of Regulations) <br /> for agricultural , outdoor institutional or outdoor industrial use and & <br /> copy of my restricted materials permit is attached. <br /> Material. purchased: (_I Atrazine [_3 Simazine [_I Brvmae'.I <br /> -_I Diuron [-„ Prometon [_I pentagon <br /> I Certify under penalty of pvriury that the foregoing statement is true, <br /> and that T will riot apply any material lioted in Section 8800(a) in any <br /> Pesticide Management Zone for agriculture, outdoor institutional or <br /> outdoor industrial uses ezzcept in accordance with a p=ermit issued by the <br /> county agri•�ul.t*.Aral commissioner or the director in a -ounty in which <br /> there is no commissioner. <br /> I'iai eh?'sex= <br /> Date <br />