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•RESMCTED MATERIALS PERMIT cont . Page 5 <br /> ARNAUDO, B & B ... Permit : 39-98-3902007 <br /> WORKERS "SAFETY SERIES. ATTACHED-- --- ------ ------�-- <br /> EX]JA-1- through"A-9 General Info. -� , [�] B-1--Cholinesterase'Testi.ng^--_--- . <br /> PERMIT CONDITIONS ATTACHED-- -------------- --------- I <br /> - ------ -__- --------- ----- ---- ------------------------------- <br /> [X1 <br /> --- -- - -- - --- __--__----_[X] P - General <br /> [X] - D"icamba & :Phenoxy •Herbicides - Central Valley/Hazardous. Area <br /> [_] R Dicamba &. Phenoxys Special Hazardous Area <br /> [�] S. - M"etam Sodium".(Vapam) <br /> C_l T Aldicarb (Temik) <br /> [_] U - Endosulfan (Thiodan) <br /> V" - Rice Pesticides Program . <br /> .[W] Molinate (Ordram) Worker Safety 1 <br /> [_] Attachments '149Molinate ( 1 , 6 ) thicbencarb ( 2 , 6 , 7 ) , earbofuran <br /> ( 3 , 6 ) , methylparathion (4 , 9 ) and malathion . (voluntary: 5 , 8 ) <br /> [-] W Methyl Bromide " . <br /> Soil within greenhouses" <br /> [�] <br /> Commodity <br /> [_] Soil injection' <br /> [�] Tarped potting soil <br /> [_1 Single tree- site <br /> [_] X - Furadan .chemigation of grapes <br /> [-] Z Other <br /> ----------------- <br /> ` SALES : GROUNDWATER PROTECTION <br /> PESTICIDE <br /> -_ _------- __--------.------ - ---------- -- <br /> ---------- -------- <br /> --------- <br /> material. 1 am purchasing will not be used in a Pesticide Management <br /> Zone (as described in. Se.ct2on 'B802 , .Title . 3 , " California Code of Reg- <br /> ulations ) for agricultural„ out.door" .institutional , or outdoor industrial <br /> use . . <br /> [_] "The material I am purchasing will. .be used in `.a Pesti cide . Management .Zone <br /> (as " described in Section 68021 "Tit"le 3 , .California Code” of Rtbulations) <br /> for 'agri.cultural-., outdoor, institutional . or outdoor industrial use .and A. i <br /> Copy of 'my restricted materials. permit is attached: . <br /> Material . purchased: Atrazine [-] "Simazine ' [T] .Bromacil <br /> [ _] Diuron [_:] Prometon . [_] Bentazon <br /> ICertify under penalty of 'perjury that the foregoing statement is tiriie , <br /> and that I wi11 'not apply any material listed in' Section 680.0(a) in any <br /> Pesticide Management Zone for agriculture: outdoor institutional or <br /> outdoor .industrial uses .except -in accordance with a" permit .issued by the <br /> county agricultural commissioner or the director -in . a county, .in which <br /> there is no commissioner, ; <br /> ------ - -- -- e -------------------- - - <br /> Purchaser --------- <br /> Purchaser Date <br />