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r At,.' ..TOAQL'T-1,I C:O ijt--TT`- <br /> 1868 E . HAZELTON AVENUE <br /> STOCYTOt-4, CA 95205 <br /> Web URL www . co . sa:�-] oa�uin . ca . usia�c E-Mail <br /> Office ( 209 ) 468-3300 Recorder (NO! ) Fa ( 2091468-3330 <br /> ------------------------------------------------------- <br /> RESTPICTED MATERIALS PERMIT vERM,IT µ : 39-04-3904362 <br /> County H� District ?r : E- <br /> METTLER. & SON E�of ation Date : 12%31/2004 <br /> 9034 E HARNEY LN Effective Late . 01 01/2002 <br /> LODI , CA 95240-- <br /> GEORGE METTLER Home : ( 209 ) 368-0996 <br /> 9084 E HARNEY LN Shop : <br /> L ODI , CA 95240- Fa-, <br /> Mobile 2096030545 <br /> Permittee Type Permit Type Possession NOI Method of Submission <br /> -------------- ------------ --------------- -------------------------- <br /> Pri✓ate App IXI Seasonal IXI Poss & Use IXI Phone IXI Fa,,-z: I I <br /> t o Cert I I job I I Pos.s On 1y I I Box 111 Modem I I <br /> AQ PCO I ! In Person IXI bleb I i <br /> NL,n-Ag NOI required 24 hours prior to application <br /> Non-Acl Use : None- <br /> Co <br /> oneCc ltditions, PU ;AL 1-31483 <br /> I understand that this permit does not relieve me from liability for any damage <br /> to per=sons or property caused by the use of these pesticides . I waive any <br /> claim of liability for damages against the Counter Department of Aariculture <br /> based on the issuance of this permit . I further understand that this permit <br /> wtay be revoked when pesticides are used in conflict with the manufacturer ' s <br /> labeling or in %fiolation -ol applicable lags, regulations and specific <br /> conditions of this permit . I authorize inspection at all reasonable times and <br /> ;rhene-.rer an emerge ncy 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 emptied containers and equipment used or to be used <br /> in the trea.tr�tent . [Form PP-ENF-125 (Rev. 07:'32 } Pesticide Enforcement Branch] <br /> P°ermi t Appl i cant : - <br /> C �✓ Issue Date ' 2-' <br /> Title : — - <br /> Issuinq Offic . _ Issue Date . - Cp <br /> �� — ' <br /> Pa=_(e 1 <br />