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U <br /> 4 <br /> Pou�N SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br /> G 2101 E EARHART AVE, SUITE 100 <br /> )` ,4 STOCKTON, CA 95206 <br /> Office: (209) 953-6000 Fax: (209) 953-6022 <br /> ,,._,;::w Email: stocktonag2@sjgov.org Web: www.co.san-joaquin.ca.us/agcomm <br /> RESTRICTED MATERIALS PERMIT: 39-12-3900286 ZI ORIGINAL <br /> Operator: HIDDEN VINEYARD LLC # 3900286-2012-Version: 1 <br /> 1850 E MILTON RD County District#: D <br /> .J <br /> LINDEN, CA 95236 Issued on: j- <br /> Valid as of:-44+442e+-2 r,r-42e+-2 1 D <br /> Attention: MOTOIKE,CLIFFORD Expires on: 12/31/20 14,,d <br /> 1850 E MILTON RD Home Phone: (209) 465-0949 <br /> LINDEN Office Phone: (209)465-0949 <br /> CA 95236 Mobile Phone: ( ) - <br /> Fax: <br /> Type of Use: Agricultural Use <br /> Notices Of Intent required 24 hours <br /> Pesticide Possession and Use prior to application of pesticide <br /> - Possession: containing restricted materials <br /> Permit Duration: Seasonal <br /> Employees Handle Pesticides <br /> _ Conditions: A, P, Q, O, W See condition detail <br /> for code descriptions. <br /> Regulatory Notes: <br /> --------------------------------------------------------------------------------------------------------------------------------------- <br /> I understand that this permit does not relieve me from liability for any damages to any persons or property caused by the <br /> use of these pesticides. I waive any claims of liability for damages against the County Department of Agriculture based <br /> on the issuance of this permit. I further understand that this permit may be revoked when pesticides are used in conflict <br /> with the manufacturer's labeling or in violation of applicable laws, regulations, and specific conditions of this permit. I <br /> authorize inspection at all reasonable times and whenever an emergency exists by the Department of Pesticide <br /> Regulation or the County Department of Agriculture of all areas treated or to be treated, storage facilities for pesticides or <br /> emptied containers and equipment used or to be used in the treatment. I have considered alternative and mitigation <br /> measures pursuant to Title 3, California Code of Regulations, section 6426. Taking into account economic, <br /> environmental, social, and technological factors, I have adopted those that are feasible and would substantially lessen <br /> any significant adverse impact on the environment. <br /> [Form PR-ENF-125(Rev 11/06)Pesticide Enforcement Branch] <br /> Applicant S G . <br /> (Nam &Title <br /> Applicant Signature: Date: 9, i Z <br /> Issuing Officer: Date: <br /> Page 1 <br />