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SAN JOAQUIN COUNTY <br /> L.. 1868 E. 14 ZEL.TON AVENUE 41 <br /> STOCKTON, CA 95205 w <br /> Off 2e. (209)468-3300 Recorder (NOI): (209)468-3300 <br /> (209)/-01-090 <br /> 30 <br /> RESTRICTED MATERIALS PERMIT __ Peamit#: 3214' <br /> County HQ District#: C <br /> SCS-:ULTZ 'VERNE `-- Expiration Date. 12/31/20011 <br /> 31146 E LONE TREE RD Effective Date : 03/02/2001 <br /> OAKDALE, CA 95361- <br /> VERNE SCHULTZ Home: (209)847-0516 <br /> 31146 E LONE TREE RD Shop: <br /> L OAKDALE, CA 95361- Mobile: (209)606-7959 <br /> LPermittee Type Permit Type- Possession _ NOI Method of Submission-------------------------- <br /> Private App NO Seasonal CX] Poss & Use CX] Phone [X] Fax VQ <br /> Q A Cert C I Job C ] Pose Only L ] Box C ] Modem L 1 <br /> L Ag PCO C I In Person CX] <br /> Non-Ag C I NOI required 24 hours prior to application <br /> Numb- Pesticide - _ -Pest(s_)----- Form. <br /> __--Method(s) Ap <br /> -- ---- plicator(s) <br /> ----------------- <br /> 1051 SEVIN LARVAE Liquid Air Ground PCO Grower <br /> L1061 FURADAN NEMATODE Granules Air Ground PCU Grower <br /> 3940 METHYL PARATHIO LARVAE Liquid Air Ground PCO Grower <br /> 4491 ORDRAM WEEDS Granules Air Ground PCO Grower <br /> 4840 ALUMINUM PHOSPH RODENTS Fumigant Ground PCO Grower <br /> 5030 PROPANIL WEEDS Liquid Air Ground PCO Grower <br /> 7860 MCPA, DIMETHYLA WEEDS Liquid Air Ground PCO Grower <br /> 9801 2,4-D AMINE WEEDS Liquid Air Ground PCO Grower <br /> L16011 PARAQUAT WEEDS Liquid Air Ground PCO Grower <br /> 19330 THIOBENCARB WEEDS Granules Air Ground PCO Grower <br /> ****** PESTICIDES CONTINUED ON NEXT PAGE <br /> Nan-Ag Use: <br /> L <br /> Conditions: PQVZ <br /> LI understand that this permit does not relieve me from liability for any damage <br /> to persons or property caused by the use of these pesticides. I waive any <br /> claim of liability for damages against the County Department of Agriculture <br /> based on the issuance of this permit. I further understand that this permit <br /> may be revoked when pesticides are used in conflict with the manufacturer's <br /> labeling or in violation of applicable laws, regulations and specific <br /> conditions of this permit. I authorize inspection at all reasonable times and <br /> whenever an emergency exists, by the Department of Pesticide Regulation or the <br /> County Department of Agriculture of all areas treated or to be treated, storage <br /> facilities for pesticides or emptied containers and equipment used or to be used <br /> in the treatment. [Form PR-ENF-125 (Rev. 07/92) Pesticide Enforcement Bran h] <br /> Permit Applicant: ' �Z— Sign: <br /> L, : GY!✓ d� Date: R d <br /> Date- 03 <br /> Issuing Off �P <br /> L <br />