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SAN JOAQUIN COUNTT <br /> 868 E. HAZELTON AVENUE n97 <br /> STOCKTON, CA 95205 <br /> ' Office: ( 2G9 )468-3300 Recorder (NOT ) : ( 209 )468-3300 FAX: ( 209 )468-3330 <br /> ,. RESTRICTED MATERIALS PERMIT PERMIT/OPERATOR I . D. # ; 39-99-3902083 <br /> County HQ District # : J <br /> RINAURO, LARRY Expiration Date : -1"�- �4 <br /> 4930 W DURHAM FERRY Issue Date . 12- ,j/- 3� <br /> " TRACY, CA 95376- <br /> LARRY RINAURO G Home : ( 209 )832-8566 <br /> 4930 W DURHAM FERRY Shop: ( 209 )832-8566 <br /> TRACY, CA 95376- Mobile : ( 209 )479-1479 <br /> --------------- <br /> FOR RESTRICTED MATERIALS PERMIT USE ONLY <br /> Permit Type : Pass . Only [ ] Seasonal [X] Poss . & Use [X] Job [ ] <br /> Permittee Type: Q.A. Cert [ ] Ag. PCO [ ] Private App [X] Non-Ag [ ] <br /> ;NOI required 24 hours prior to application. <br /> Method: Phone [X] Box [X] Person [X] Modem [ ] Fax [X] <br /> { Numb Pesticide Pest( s ) Form. Method( s ) Applicator( s ) <br /> ---- -------------- ------------ --------- ---------------- ----------------- <br /> 1 <br /> 1041 CAPTAN DUST Fungi Dust Air Ground PCO Grower <br /> 1051 SEVIN Larvae Liquid Air Ground PCO Grower <br /> j1360 CHLOROPICRIN Nematode Fumigant Fumigate PCO Grower <br /> 2000 DICAMBA Weeds Liquid Air Ground PCO Grower I <br /> -. 3141 GUTHION Mites Liquid Air Ground PCO Grower <br /> 3850 METHYL BROMIDE Soil/Stored Fumigant Fumigate PCO Grower <br /> 4840 ALUMINUM PHOSPH Rodents Fumigant Fumigate PCO Grower <br /> , 5540 STRYCHNINE Gophers Bait Other PCO Grower <br /> 7860 MCPA, DIMETHYLA Weeds Liquid Air Ground PCO Grower <br /> 9801 2 ,4-D AMINE Weeds Liquid Air Ground PCO Grower <br /> 16011 PARAQUAT Weeds Liquid Ground PCO Grower <br /> 16891 SUPRACIDE Larvae Liquid Air Ground PCO Grower <br /> f <br /> Non-Ag Use: <br /> e, Conditions : PQW <br /> w <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 /> ,lCounty Department of Agriculture of all areas treated or to be treated, storage <br /> Ifacilities for pesticides or emptied containers and equipment used or to be <br /> iused in the treatment . [Form 33-125/v3 . 53 (Rev. 02/16/90 ) Pesticid- nforcement <br /> Branch] <br /> � Permit Applicant: Cp_ n1/ Qui ., Sig `—i913 A <br /> " <br /> Title : 0 Oet',Qhft Date : 21 3-I 9 <br /> Issuing Officer; 1'' Date ; 2 Z - g <br /> l <br />