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b <br /> ' LETTER OF AUTHORIZATION <br /> j To: San Joaquin County Agricultural Commissioner <br /> 2101 E. Earhart Ave, Suite 100 <br /> Stockton, CA 95206 <br /> Fax: 209-953-6022 <br /> From: <br /> OPERATOR OF THE PROPERTY(PRINT NAME) <br /> PERMIT NUMBER <br /> PERMIT NAME <br /> ADDRESS <br /> CITY,STATE,ZIP PHONE <br /> F41 The authorized representative named below may represent y re p nt me in obtaining a restricted material <br /> permit or operator identification number for use in San Joaquin County. I understand that this <br /> authorization does not relieve me of liability for violations of pesticide laws or regulations on my <br /> F property. This authorization shall remain in effect until I revoke it in writing to the Agricultural <br /> Commissioner. <br /> Date: <br /> ate: <br /> OPERATOR OF TH <br /> E PROPERTY <br /> YF Title: <br /> Fi Authorized Representative: / ECI/%��dD�/� ,5(•� <br /> PRINT NAME <br /> F! I am the property operator's: X employee; [ ] relative; 0(] Employee PCA; [ ] other <br /> SPECIFY <br /> I hereby certify that the information above is correct to the best of my knowledge. I also <br /> understand that, in the event of violation of pesticide laws or regulations, I could be held liable <br /> either separately or together with the property operator. <br /> l ' Signature: <br /> Phone: .G409"-0K'i!9e6-5- <br /> t AUTHORIZED REPRESENTATIVE <br /> 3CCR 6420(a): "Permits for agricultural use of a restricted material shall be issued in the name <br /> of the operator of the property to be treated. The permittee or when allowed by the <br /> commissioner (emphasis added), the permittee's authorized representative or licensed pest <br /> control adviser, shall sign the permit. The authorized representative or licensed pest control <br /> j adviser shall provide the commissioner with written documentation from the permittee to act on <br /> his/her behalf. " <br /> 3CCR 6000: "Operator of the property" means a person who owns the property and/or is <br /> i <br /> legally entitled,.to possess or use the property through terms of a lease, rental contract, trust, or <br /> I other management arrangement. <br /> hE <br /> I <br />