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SAN JOAOUIN COUNTY <br /> 1868 E. HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> L Office: (209)468-3300 Recorder (NOI ) : (209)468-3300 FAX: (209)468-3330 <br /> ---------------------------------------------------------------- <br /> RESTRICTED MATERIALS PERMIT Permit?#: 39-00-3900096 <br /> County HQ District#: H <br /> CUNEO, ANGELO Expiration Date: 12/31/2000 <br /> 1529 S WALKER LN Effective Date <br /> STOCKTON, CA 95215- <br /> ANGELO CUNEO Home: (=09)466-8267 <br /> ` 1529 S WALKER LN Shop: ( ) - <br /> STOCKTON, CA 95215- Fax : <br /> Mobile: <br /> Permittee Type Permit Type Possession NOI Method of Submission <br /> -------------- ------------ -------------- -------------------------- <br /> Private App [X] Seasonal [X] Poss & Use [X] Phone [X] Fax CX] <br /> h. Q A Cert C ] Job C ] Poss Only C ] Box fX] Modem [ 7 <br /> Ag PCO [ I In Person CX] <br /> Non-Ag C ] NOI required 24 hours prior to application <br /> Numb -Pesticide Pest(s) Form. Method(s) Applicator(s) <br /> ----- --------------- ---- -------- -------- ---------------- ----------------- <br /> 1051 SEVIN LARVAE Liquid Air Ground PCD Grower <br /> 1360 CHLOROPICRIN NEMATODE Fumigant Ground PCO Grower <br /> 3141 GUTHION MITES Liquid Air Ground PCO Grower <br /> 3530 METHOMYL LARVAE Liquid Air Ground PCO Grower <br /> ,.. 3850 METHYL BROMIDE SOIL/STORED Fumigant Ground PCO Grower <br /> 4840 ALUMINUM PHOSPH RODENTS Fumigant Ground PCO Grower <br /> 5540 STRYCHNINE GOPHERS Bait Ground PCO Grower <br /> 6260 ZINC PHOSPHIDE RODENTS Bait Air Ground PCO Grower <br /> 9801 2,4-D AMINE WEEDS Liquid Air Ground PCO Grower <br /> 16011 PARAQUAT WEEDS Liquid Air Ground PCO Grower- <br /> ****** <br /> rower*****k PESTICIDES CONTINUED ON NEXT PAGE <br /> r Non-Ag Use: <br /> Conditions: POW <br /> I 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 /> claim 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 or in violation of applicable 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 containers and equipment used or to be used <br /> in the treatment. [Form PR-ENF-125 (Rev. 07/92) Pesticide Enforcement Branch] <br /> ` Permit Applicant: /y Lid frlb (.L L-t-re- Sign: 9 `,— <br /> Title: Date: <br /> L IssuingOfficer: _ _ �r�X (! U Date: 490 _ <br /> L <br />