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SAN JOAQUIN COUNTY J <br /> 1868 E . HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> 16 Office : (209) 468-3300 Recorder (NOI) : (209) 468-3300 FAX: (209) 468-3330 <br /> ------------------------------------------------------------------------------- <br /> RESTRICTED MATERIALS PERMIT Permit#: 39-99-3900096 <br /> County HQ District# : H <br /> CUNEO, ANGELO Expiration Date : 12/31/1999 <br /> 1529 S WALKER LN Effective Date : 01/12/1999 <br /> `'STOCKTON, CA 95215- <br /> ANGELO CUNEO Home : (209) 466-8267 <br /> 61529 S WALKER LN Shop: ( ) - <br /> STOCKTON, CA 95215- Fax: <br /> i <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 [X] <br /> `Q A Cert [ ] Job [ ] Poss Only [ ] Box [X] Modem [ ] <br /> Ag PCO [ ] In Person [X] <br /> Non-Ag [ ] 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 PCO Grower <br /> 1360 CHLOROPICRIN NEMATODE Fumigant Ground PCO Grower <br /> 3141 GUTHION MITES Liquid Air Ground PCO Grower <br /> 3830 METHOMYL LARVAE Liquid Air Ground PCO Grower <br /> L3850 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 /> ****** PESTICIDES CONTINUED ON NEXT PAGE ****** <br /> 6-Non-Ag Use : <br /> Conditions : PQW <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 /> LPermit Applicant : Sign: <br /> Title : Date : <br /> Issuing Officer: Date : <br /> HE ARE UNABLE TO LOCATE SIGNED ORIGINAL 1999 PERMIT. <br /> %✓W,S, . <br /> HAZEL R. GAL1- , OFFICE ASSISTANT SPECIALIST <br />