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SAN JOAQUIN COUN.I"Y <br /> µ 1868 E- HAZELTON AVENUE <br /> STOCKTON, CA 95205- <br /> Web:vsww.co.sen joaquin.ca uslageomm <br /> Office: (209}468-3300 Fax: (209)465-3330 Recorder(NOPs): (209)465-3300 <br /> I. + <br /> RESTRICTED MATERIALS PERMIT <br /> - <br /> Permit Number: 39-09-3940137 <br /> F&F D ORCHARDS <br /> 21360 WALNUT DR County District#: D <br /> LINDEN, CA 95236- Expiration Date: December 31, 2009 <br /> Effective Date: January�- <br /> } + <br /> FRANK DE BENEDEM Home Phone: (209)887-3317 <br /> 21360 WALNUT DR Shop Phone: ( ) - <br /> LINDEN CA 95236- Mobile Phone: (209)484-7992 <br /> Fax: <br /> Permittee Type: QACIQAL NQI Method of Submissiam <br /> Permit Type: Seasonal Phone: X Fax X Box. X <br /> Possession: Possession&Use In Person: X Modem: X Web: X <br /> N41 required 24 how prior to application. <br /> F <br /> Conditions: A,P,Q,W <br /> See end ofpemat.for <br /> code descriptions. <br /> r" <br /> I understand that this permit does not relieve me from liability for any damages to any persons or property causedby the use of these pesticides, I waive any claims of liability for damages against the County Department of <br /> Agriculture based on the issuance of this permit, I further understand that this permit may be revoked when <br /> I pesticides are used in conflict with the manufacturer's labeling or in violation of applicable laws,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 Agriculture 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 /> I have considered alternatives and mitigation measures pursuant to Title 3,California Code of Regulations,section 6426, <br /> E Taking into account economic,environmental,social,end technological factors,I have adopted those that are feasible <br /> and would substantially lessen any significant adverse impact on the environment. <br /> [Forth PR-M-TF-125 (Rev. 11106)Pesticide Enforcement Branch} <br /> ? Permit Applicant YAP. c12 /JE f'�o�y�c��T y`•� Signed: <br /> a (Please Pmt) <br /> F1 Title: Issue Date: <br /> pleas <br /> r-.- Issnrin Officer: Issue Date: <br /> F, <br /> Page i <br />