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SAH 30A:.)UI11 COUI'd'I'Y <br /> 1354 E . HAZEL70N AVE�InJH <br /> STOCKTONd CA 95205 <br /> l <br /> L , Web URL :WWW . CO . san- toarluin . ca . usxagcomm <br /> E-Mail <br /> O'ffic'e : ( 209 ) 463-3300 Recorder (NCI ) : { 2031 .4o8-u 300 FAX : ( 20> ) 46'8- _0'0 <br /> 1 <br /> FESTFICT£D MATERIALS PERMIT PEPHIT 9 : 39--05-3901435 <br /> County HQ District 7 : A <br /> LZWART, REINA & JAMES Expiration Date : 121131.'2:105 <br /> 465 LINDA AVE Effective Date . <br /> LRIPON. CA 9511?,- 2-1 t�CV3 <br /> JAMES ZWART Home: ( 209 ) 239-25.75 <br /> 13396 S CASTLE RD Sho+U : <br /> L MANTECA, CA 95336- Fax: <br /> Mobile- <br /> -------------------------------------------- <br /> ----------------------------------- <br /> Permittee Type Permit Type Possession 1.101 Method of Submission <br /> L ------------- ------------ -------------- ----- --------------- <br /> Private App IXI Seasonal IXI Poss €. Use IXI Phony----- IXI Fax IXI <br /> O, A Cert I I Job I I Foss only i I But I I Modern I I <br /> Ag PCD I I In Person JX{ Web I I <br /> 'Ion-Ag I { NOI required 24 hours prior to application <br /> - --- - ------------------- <br /> --------------=----------------- ------ <br /> Nan-Ag Use : None <br /> Conditions : Purl <br /> T understand that this permit does not relieve me from liability for any damage <br /> 6. to persons or property caused by the use of these pesticides . I waive any <br /> claire 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 ur in violation of applicable laws, regulations and saecific• <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 e=mptied containers and equipment used or to be used <br /> in the treatment . [Farm PR-ENF-125 (Rev . 07!92 ) Peoticide Enforcement Branch] <br /> " Psra.it Applicant : ----- <br /> os-�c-•'r�--P—�--�4 on:( Sten : <br /> Title : _ (y Issue Date : 1 �!!„ 3 - <br /> L Issuing officer :_-� _- Issue Date : <br /> L Paga 1 <br /> L <br /> L <br />