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SAN 3t?AQUI ti CO-Wi Y <br /> 1868 E. 'HAZELTON AVENUE 2006 <br /> STOCKTON. CA 95205- <br /> E-mail: 'tic eb:www.ca.sora-ioaqum ca:islagc-omm <br /> `., Office: (2t9)465.3300 Fax: (200)468.3330 Recorder"NONo: �209W69.3300 <br /> ` RESTRICTED M TE'RULS PERMIT <br /> SCHtJLTZ VERNE Pern itNumber: 39-06-3003214 <br /> 31146 F.LONE TREE RD County DI"Snia <br /> DAYDALF, CA 95361- EVrafton Late- December 3I 1006 <br /> � Et"tective Date: <br /> r uca r <br /> ` Y NE SCHULT? Horne Phone: (209'547-0416 <br /> 31146 E LONE TREE RD Shop Phone: <br /> ©ABDAIZ CA 95361- Moble Phone: (209A,0i F,-7959 <br /> Fax: <br /> L <br /> Pe <br /> runnee Type: Private A.ppiicator NO!Med-ad of;Submiss€o-w <br /> Pmmit Type: Seasonal Phone: k Fax. is Box: X <br /> Posses€itrr! Possession&Use In Person: X Modern: Web- X <br /> r NOI required 24 hours prior to applieWim- , <br /> ` Conditions: A.Y,?,RICE <br /> Set,€Ild of p for <br /> GON Jesmptimm <br /> `I _ — _ _ _ — — — _ - -- — — --_ _ _ _ — _ _ _ - — _ _ _ — _ — <br /> T tirade gt ar 1 that this per nit does not relieve me from liability Car a-y da ages to any persons or property caused <br /> by t'he use of these pesticides. (waive any claims of liability for damages against the CountyDepar-rient of <br /> ` <br /> Agriculture based on the issuance of this pernut I Further uridersta-nd that,this permit may be revoked when - <br /> Pesticides are used in conflict with the manufacturers label as or in violation of applicable laws,re-Talatiariaand <br /> specific conditions of alis pen-nit I auiPorize inspecIllon at all masoriabie times and whenever-an emcref,---n'"y exists <br /> by the Department of Pesticide Regulation orthe County Department c,"Agriculture of all areas tmated orto be <br /> treated,storage facilities for pesticides or emptied containers and equipment used or to be used in the treatniert. <br /> Tom PR-MTF-125 (Rev. 07/92)Pesticide.si_forcememBranch <br /> j <br /> Permit Applicant: G/t`�1 ���1/�l �� Sipe& <br /> fFlea:e Prm-t} <br /> Title: CI'Vr�e r Issue Dater <br /> �p ease �.tt <br /> Issuing Officer: Issue Bate: _ C; — l —d(4 <br />