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SAN JUAQU 1N GUUNTY <br /> 7 2101 E EARHAR.T.SUM 100 <br /> STCCKrON, CA 95206- <br /> Web:www.co.san}oaquizLca.agagcomm <br /> Office:(209)953-6000 Fax: (209}953-6022 Redder(X01's): (209)953-d <br /> i <br /> 1 . <br /> RT.STRTCIED MA JUTAT MBUI .,. <br /> PP' it Wnmhe�r• 39-09-3902010 <br /> T]F.T.Tl~.RR A FARMS TIC <br /> 33600 %K01.91 FR RT) Courdv District# I <br /> TItACV CA 453114 <br /> EX*ation Date: December 31 2009 <br /> Effeetive Date: January 1, ',;2D0 q <br /> 1 . TCIEH[T RAC.CRFM Home Phone: (2091 R1 1-279). <br /> I OR76-Q;TR ACV RT.VTT Shop Done: <br /> F, Tl2A(".V CA 45-104 Mobile Flume: (209) 6117.-5447 <br /> Fax: (2091 R3"60() <br /> i Permittee Type: Prime Anticetor NDI Mef ed apt'Submissiaasa <br /> Pefmit Tvpe: Cpagnnal Phone: X Fax: X Bog: <br /> possession: Possession&.Use In Person: X Web:X Madera: Y <br /> F . <br /> NCI rewired 24 hours mior to anulication_ <br /> F <br /> F. Conditions: A,P,Q,S,W See end of permit for <br /> code descriptions. <br /> F: <br /> I m-id�stand the this permit daes nct relieve me fratn liability far atay damages to ary per�a crproperty'caused <br /> --------------—-- _ — ———r <br /> by the use of these pesticides. I waive any claims of liability for damages against the County Depmtn-g=of <br /> Agriculture based on the issuance of this permit I further understand that this permit may be revoked when <br /> pesticides are used in conflict with the mmu factarees labeling or in violation of applicable laws,regulations and <br /> specific conditions of this permit I autharize inspection at all reasonable tithes and whenever an emergency exists <br /> by the Department of Pesticide Regulation or the Colony Department of Agriculture of all areas treated or to be <br /> treated,storage facilities for pesticides or emptied containers and equipment used or to be used in the treatment <br /> = I have considered alternatives and mitigation measures punt to Title 3,California Code ofRegulatisats,section 6424 <br /> Talking into acca=economic,envircmmental,sinal,and tedinol4cal factors,I have adopted those that are feasible <br /> �. and would substantially lessen any significant adverse impact on the environment. <br /> [Form PR MST 125 (Rev. 11106)Pesticide Enforcement.Rrta>ch� <br /> �� 6V4-MC-'RA` Fefmit Axtplitarrt= Signed: <br /> F , (Please PhEt) <br /> Title: ec-41 1 Issue Date--_/(3L- <br /> (Please Print) <br /> j <br /> 0.,,—may` Issue Dome- <br /> issuing <br />