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SAN JOAQUIN COUNTY <br /> 1868 E. HAZELTON AVENUE <br /> STOMTON, CA 95205is <br /> - <br /> E-mail: Web:ww.v.co.sm-joaquai.caw-lagcorme <br /> Office: (209)468-3300 Fax: (209)468.3330 Recorder(Al'OPa}: (209)468.3300 <br /> - RESTRICT3i D 1444 ATEPJALS PFRYZI <br /> VEENSTRA FARAD-TO Permit Number: 39-04-3903245 <br /> 15863 S SEX-TON County L=+�ict ii: C <br /> ESCAL' 1, , t A 9532+-i- Eviration Date: December 31, 2004 <br /> �C hity � <br /> Effective Date— <br /> FRED VEENSTRA Home Phone: (209)838-2894 <br /> 15863 S SEXTON Shap Phone: (209)838-2894 <br /> F'SCALON, CA 95320- Mobile Phone: (209) 595-4278 <br /> Fav <br /> Permittee Type: Priva?e Applicator NO!Method of S.ulAtuhs-24W.– <br /> Permit Type: Seasonal Phone: X Fax: X Bax: X <br /> Possession: Possession &Us-, in Person: X Modern: Web: X <br /> NOI required 24 hours prior to application, <br /> Conditiom: AAQ W See u of permit For <br /> r ( ecCode desetiptiorm <br /> _- <br /> '� I understand that this permit does not relieve ine froni liability for any daniages to any persons or property caused <br /> by the use of these pesticides. I waive any ciaiuns of liability for damages against the County Department of <br /> Agriculture based on the issuance of this permit I CTx4her understand tl-iat tl:Is permit maybe revoked cviien <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 inspections 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 /> a. prated,storage facilities for pesticides or etiptied containers and equil-mieni used or to be used in the trestrap-. <br /> (Fora PR-EIdF-125 ;Rev. 07192)Pesticide Enforcement Branch <br /> retxtajt Appitc?r : S7X4 3i cert: _ <br /> i�ieaae:'riu� <br /> Tie: e'OW CJLs Issue Daae: /L- Z 9-u3 <br /> (Please?rut) <br /> r � � <br /> lssuin�Offices: Lsne p„_; -- <br />