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ra1{c+ <br /> Pe.-adtee-.VEENSTRA FARMING Petsnit i'dumb r: 39-11-39()3 <br /> Decription of Conditions on thb Permit: - <br /> Condition ID Deccaiption <br /> A Parmit Cond.Table of Contents <br /> A-P RIAIT CONDI' 0N-TABLE OF CONT-ENTS <br /> WrRP,EFS SAFETY SEF.IES ATTACHED - <br /> [ ]A-1 throws}?A-I I Genera lafonnstioil <br /> PEF_7KK T CONDITONS ATTACHED <br /> [�? P-General <br /> Q-Dicamba&Phenoxy Herbicides-Central Valley/Hazardous Area - <br /> [ ] R- Dieamba&Phenoxys-special Hazardous Area <br /> [ 1 <br /> 0- Metam Sodium&Metam Potassium - <br /> [ J T- Aidicarb(Ternik) <br /> [ J <br /> U- Endosulfan(Thiodmi) <br /> [ J <br /> V- Rice Pesticides Prognarn _ <br /> [ ]-Molinate(Ordrmi)Vfrrker Safety(A,, <br /> [ J-Attaclunentz 1-10: Molinate(1,> ),Thiobericarh(2,6,;:„ <br /> Methylparathion(3,9),Seepage Control(5), <br /> Propanil (10)and Malathion(voluntary:4,8 . - <br /> W-Methyl Bromide <br /> [ ]-Soil within g eenhcusea <br /> [ ]-Commodity <br /> [ J-sail injection <br /> [ )-Tarped potting soil <br /> Single tree site <br /> [ ]X- uradan chemigation of grape, - <br /> [ J Y- 1,3 -Dichloropt'opene <br /> [ ]Z-Other <br /> PESTICIDE SALES: CsRi]T, NDWATERPRrJTE.r`Ti'ON <br /> Tile material I am purchasing will not be used in a Pesticide M-am ement Zone(as described in Section 6802. - <br /> Title 3,California Cocke of Regrilations)for agricultural,out&or institutional or outdoor industrial use. <br /> ( J The material I run purchasing wil l be used in a Pesticide Management Zone(is described in Section 6802,Title 3, <br /> California Code of Regulations) for ag•icultut al, outdoor institutional ar outdocf industrial use and a cops of my <br /> restricted <br /> - <br /> restricted materials permit is attached. <br /> Material purchased: ( ] Atrazine ( ] Simazine [ j Bramacil - <br /> f J Diumi ( J Prometon [ ] Bentaax: <br /> I certify under penalty of perjurythat the foregoing statement is t?-te,and that I will not apply any n»tei'ial listed in <br /> Stiction 6800(x)in any Pesticide Management Zone for agriculbire,outdoor institutional or outdoor industrial ulzes <br /> eXrel,'rt it?2CCCri'uffi-ll]e iD?tt?a pernllt 1�8�ped by ti?e county ayf 1Cltltit!'at COilY??iSalOn£t'Vr Lt?s'UL'eCtti!'nil a lsJLfe.�' s <br /> which there is no commissioner. <br /> - <br /> D <br />