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/ 2909 <br /> SAN JOAQUIN COUNTY - - . <br /> 1868 E . HA2:ELTON AVENUE <br /> STOCKTON, CA 95205 <br /> V ' <br /> Web '.TRL :www. co . san-joaquin. ca . uexageomm - <br /> E-Mail : <br /> Office : ( 209 ) 468--3300 Recorder (NOI ) : ( 209) 468-3300 FAX : ( 209 ) 468-3330 <br /> -------------- ------------__________ <br /> RESTRICTED MATERIALS PERMIT - PERMIT # : 39-03-3900096 <br /> County HQ District 9 : H <br /> a <br /> CUNEO, ANGELO Expiration Date - 12131/2003 <br /> 1529 S WALKER LN Effective Dace <br /> STOCKTON. CA 95215- 0/17-1/ 2003 <br /> ANGELO CUNEO Horne : - ( „09 )466-8267 <br /> 1529 S WALKER LH Shop : ( ) - <br /> :'•TOOKTON, CA 95215- Fax : <br /> Mobile ( ) - <br /> ------------- <br /> ----- <br /> Permittee Type Type Permit Type Possession NOI Method of Submission <br /> ------------- ------------ -------------- ---------- <br /> ---------------- <br /> Private App IXI Seasonal IX) Pose & Use IXI Phone IXI Fax IXI <br /> Q A Cert I i Job Pose Only I I 73ox I I Modem IXI <br /> Ag PCO I I In Person IXI Web IXI <br /> Nun-Ag I I NOI required 24 hours prior to application <br /> Non-Ag Use : None - <br /> Conditions : PQW <br /> T_ understand that this permit does-not relieve me from liability for any damage <br /> to persons or property caused by the use of these pesticides . I waive any <br /> -1.9irn of liability for damages against Lrlu CounLy D�IparLment of Agriculture <br /> based on the issuance of this permit . I further under_tand that this permit, <br /> '; he r-evr,ked whF.n },e t ,. �.- t - -= are u�7ed ? ri -,-',r� ' 1 t.±•,> rm.v-,utacturet ' _ <br /> ,µ. _. <br /> r , clatior: of u}plicaE a laws, regulations and specific <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 emptied containero and equipment used or to be used <br /> in the treatment . [Form PR--E1iF--125 (Rev . 07,•92 ) Po2zticide Enforcement Branch] <br /> r <br /> Permit Applicant . lG ems ' � d Sign : ad � <br /> o <br /> Title : <br /> -�'L-s.�.w� Issue Date : _. <br /> .usuing Officer . ��r �/y'�- I�Eaue Data . �—Ze -- -- -- <br /> Page 1 <br /> iw <br /> L <br />