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SAN JOAQUIN COUNTY X07 <br /> 1868 E. HAZELTON AVENUE <br /> STOCKTON, CA 95205- <br /> web:www.co.sm-ioaquin.ca.us/agcomm <br /> Office: (209)468-3300 Fax: (209)468-3330 Recorder(NOI's):(209)468-3300 <br /> RESTRIC'TFD MATERIALS PFRMIT <br /> COSTA INC. DAN Permit Number: 39-07-3901076 <br /> 1269 SPRING CREEK DR County District#: B <br /> RIPON. CA 95366- Expiration Date: December 31,2007 <br /> Effective Date: May 3, 2007 <br /> " DAN R COSTA Home Phone: (209)599-3567 <br /> 17608 E LOUISE AVE Shop Phone: (209)234-2004 <br /> ESCALON. CA 95320 Mobile Phone: (209)531-6135 <br /> Fax: (209) 234-2001 <br /> Permittee Type: Private Applicator NOI Method of Submission: <br /> Permit Type: Seasonal Phone: X Fax: X Box: X <br /> Possession: Possession&Use In Person: X Web: X <br /> NOI required 24 hours prior to application. <br /> Conditions: A,P,Q See end of permit for <br /> code descriptions. <br /> ------------------------------------------------ <br /> I understand that this permit does not relieve me from liability for any damages to any persons or property caused <br /> by the use of these pesticides. I waive any claims of liability for damages against the County Department 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 manufacturer's labeling or in violation of applicable laws,regulations and <br /> " specific conditions of this permit. I authorize inspection at all reasonable times and whenever an emergency exists <br /> by the Department of Pesticide Regulation or the County 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 pursuant to Title 3,California Code of Regulations,section 6426. <br /> Taking into account economic,environmental,social, and technological factors,I have adopted those that are feasible <br /> and would substantially lessen any significant adverse impact on the environment. <br /> [Form PR-ENF-125 (Rev. 11/06)Pesticide Enforcement Branch 1 <br /> Permit Applicant: Signed: <br /> (Please Print) <br /> Title: Issue Date: <br /> (Please Print) <br /> Issuing Officer: Issue Date: <br /> WErzrzaa,CC����IINAAaBL 0 CATE SIGNED ORGINAL 2007 PERMIT. <br /> H92EI�R �6IICE ASSISTANT SPECIALIST <br /> Page 1 <br />