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SAN JOAQUIN COUNTY _ <br /> 1868 E. HAZELTON AVENUE <br /> STO KTON, CA 95205- 4-- <br /> E-mail: Web:were•.co.s�.-ionquin.causlagemn <br /> Office:(309)468.3300 Fax: (209)468-3330 Recorder(NOLs): {209}46&-330{t <br /> RESTRICTED MATERIALS PERMIT <br /> WOLTJER,LARRY Permit Number: 39-08-3943269 <br /> 15821 S SEXTON County District##: C <br /> ESCALON, CA 95324- Expiation Date: DecembIrr 31, 4 — <br /> Effective Date: January <br /> LARRY WOLT.IEF? Rome Phone: (209)838-3431. <br /> 15821 S SEXTON Shop Phone: ( ) — <br /> ESCALON, CA 95320- Mobile Phone: - <br /> Fax_ — <br /> Petmittee Type: Private Applicator 14;0£Me1he;d of Suhmisslo <br /> Permit Type: Seasonal Phone: is Fax X Box X <br /> possession_ Possession&Us; In Person: X Mocern� Web: X— <br /> NO1 required 24 hours prior to application, <br /> Conditions: A.P.Q,GWP-R3,GWP-Ia <br /> See and of pens`.fix _ <br /> ccd»d9ruttionc. <br /> I understand that this permit does not relieve me from liability for any darnagea to any persons or property caused <br /> by the use of these pesticides. I waive any claims of liability for damages against the Coi r2y Depafiment of <br /> Agicttlture 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 manufacturers labeling or in-violation of applicable lavas,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 Resostion or the County Ueparttnent of Agricuilture of all areas treated or to be <br /> treated,storage facilities for pesticides or emptied containers and equipme_M used or to be used un the treatment. <br /> L'onn PR-EldF-125 (Rea. 07J91)Pesticide Enforeerne t Praneh J — <br /> Permit Applicant L to I-I.-Y W a I �� P � Sigpe& <br /> ,title.: C �f issue Date. 1 a C <br /> TGjrt'fic,tv`fCet issue Date. /� <br />