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- SAN JOAQUIN COUNTY <br /> 1868 E. HAZELTON AVENUE <br /> STOCKTON, CA 95205- <br /> E-n'iail: Web'uavw.co.san-i o aquin.ca.us/ngcomm <br /> Office: (209)468.3300 Fax: (209)468.3330 Recorder(NOI's): (209)468.3300 <br /> RESTRICTED MATERIALS PERMIT <br /> R.W FARMS PermitNumber: 39-05-3902114 <br /> 11142 RAINBS RD. County District#: J <br /> PATI'ERSON, CA 95363 Expiration Date: December 31, 2005 <br /> Effective Date: 3a<mzy iM <br /> �s2. S�• <br /> _ ROBERT WILLIAMS Home Phone: <br /> 11142 P AINENS RD Shot)Phone: <br /> PATTEP,.SON, CA 95363 Mobile Phone: (209) 601-3909 <br /> Fax: <br /> Permittee Type: Private Applicator NOF Mood of Submission: <br /> Perni t Type: Seasonal Phone: X Fay: X Box: <br /> Possession: Possession & Use In Person: X Modem: Web: x <br /> NOI required 24 hours prior to application. <br /> w <br /> Conditions: =�P.Q See end of permit''or <br /> code deecripriono. <br /> ---------------------------------------------- <br /> I ------------------------------------------ <br /> I understand that this petnit does not relieve me from liability for any damages to any persmis or property cauwd <br /> by 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 /> 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 /> [FcrmPR-ENF-125 (Rev. 07/92)Pesticide Enfcrcenet Branch] <br /> _ (� e <br /> Petmit Applicant `�0'ba V I I Atr�S Signed <br /> Please Printf <br /> Title: �PQ�A1EQ— Issue Date: 1 kiLL <br /> (Please Print) <br /> Issuing Officer. l Issue Date: I�� — <br />