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SAN JOAQULN COUNTY <br /> 1868 E. HAZELTON AVENUE � ' <br /> hY <br /> STOCKTON, CA 95205- .,- <br /> E-mail: Web:www,co.san-joagiwr.ce,uslagcomxn <br /> Office: (709)468.3300 Fax: (209)468.3330 Recorder(NOiS): (209)468.3300 <br /> RESTRICTED MATERLAIS PERlMIr <br /> Permit Number: 39-44-3903214 <br /> SCIRJLT4 VERNE <br /> County District# C <br /> 31146 E LONE TREE R➢ <br /> OAKDALE,CA 95361- Expiration Date: December 31, 2004 <br /> Effective Date: <br /> tr 711Cr'y 1,2-OC)q <br /> VERNE SCTiUbTZ Hobe Phone: (209)347-0516 <br /> 31146 E LONE TREE RD Shop Phone_ <br /> OAKDALE, CA 95361- Motile Phone: (209)606-7959 <br /> Fare <br /> Permittee Type: Private Applicator NGI Mcthotl of Submissiow <br /> Permit Type: Seasonal Phone: X F.ax X Box X <br /> Possession: Possession&Use In Person: X Modern: 'Web: { <br /> NOI required 24 hours Prior to alulrlication: <br /> Conditions: NP,Q,RIC See end cr# t figs <br /> . code descdptionsoas. <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> I understand that this permit does not relieve me from liability for any damages to any persons or property caged <br /> by the use of these pesticides. I waive any claims of liability for damages against the County Department of <br /> Agriculture based on the issuance of this permit. I further understand that this permit maybe revoked when _ <br /> pesticides are used.in conflict with the manufactui-Lr's labeling or in violation of applicable laces,regulations and <br /> specific conditions of this pettnit 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 f6r pesticides or emptied containers and equipment usedor to be used in the treatment <br /> [Form PR-ENF-125 (Rev. 07192)Pesticide Fhforcement Branch�Ae ] <br /> ase Print) <br /> Title: /L Issue Dater <br /> (P.nase Print) <br /> Issuing Offie . Issue Date: <br />