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SAN JOAQUIN COUNTY <br /> a- <br /> 1868 <br /> 1868 E. HA2ELTONT AVENUE <br /> STOCKTON, CA 95205- <br /> E-mail: Web:www.en.san-joaquimca.usiagcomm <br /> Office: (709)968.3300 Fax: (209)468.3330 Recorder(NOPs): (209)968.3300 <br /> RESTRICTED MATERIALS PERMIT <br /> VEENSTRA FARIbIiNO Permit Number: 39-06-3903245 <br /> 15863 S SEXTON County District#. C: <br /> ESCALON, CA 95320- Expiration Date: December 31, 2006 <br /> ` Effective Date: Jamey <br /> ` FRED VEENSTRA Home Phone: (209)838-2894 <br /> 15863 S SEXTON Shap Phone: (209)838-2894 <br /> ESCALON, CA 95320- Mobile Phone: (209) 595-4278 <br /> Fax: <br /> Permittee Type: Private Applicator NOI Method of Submission; <br /> Pemtit Type: Seasonal Phone: X Fax. X Box X <br /> Possession Possession&Use In Person: X Moslem: Web: X <br /> NOI required 24 hours prior to application. <br /> ` Conditions: A,P,Q,W <br /> sea end of pamit for <br /> coda descmptiona. <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 /> P,gricultxtre 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 lases,regulations and <br /> apecific 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 /> (Form PR-ENF-2 25 (Rev. 07192)Pesticide Enforcement Branch <br /> ` Perrnit Applicant: r2 ar f' C _, 5 i 2i1= Signed <br /> [Please P.•t j <br /> i <br /> Title: Lu A)EF i2 Issue Date: <br /> - F ease Pini} <br /> r <br /> Issuing Office➢ -C2 Issue Date: <br />