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Fes, <br /> SAN JOAQUIN COUNTY <br /> 1868 R HAZELTON AVENUE �9 <br /> F • STOCKTON, CA 95205- <br /> E-mail: Web:www.co.sEm-joiaquin.caus/ageomm <br /> Office: (204)468.3300 Fax: (209)468.3330 Recorder(NOI's): (204)465.3300 <br /> RESTRICTED MATERIALS PERMIT <br /> r <br /> Permit Number: 39-07-3904346 <br /> MAYER,MARVIN bounty District#: F <br /> 4980 E WOODBRIDGE RD <br /> ACAMPO, CA 95220- Expiration Date: December 31, 2007 <br /> k Effective Date: , <br /> FMARK MAY01 Home Phone: {209}369-0577 <br /> t 4980 E WOODBRIDGE RD Shop Phone: (209)369-0577 <br /> ACAMPO, CA 95220- Mobile Phone: ( ) - <br /> k L + <br /> FFF Fes: <br /> Permittee Type: Private Applicator NOI Method of Submission: <br /> Pearn#Type: Seasonal Phone: X Fax. X Box: <br /> Possession: Possession & Use In Person: X Modem: Web: X <br /> NOI required 24 hours prior to application. <br /> Conditions: A,Pwade descr iptioac,W,GWP-L2,GWP-L3 See end p tins for <br /> �� <br /> � . <br /> --------------------------------------------_.._-------- <br /> I understand that this permit does not relieve me ft om liability for any damages to any persons or property caused <br /> by the use of these pesticides. I Naive any maims of liability for damages against the County Department of <br /> Agriculture based on the issuance of this permit. I further understand that this perm t may be revoked when <br /> F <br /> F, pesticides are used in conflict with the manufacturer's labeling or in violation of applicable laws,regulations and <br /> epeLi£ic conditions of this petnit_ I authorize inspection at all reasmmble times and whenever an emergency exists <br /> by the Department of Pesticide Regulation or the Count] Department of Agriculture of all areas treated or to be <br /> F �! treated,&-c age facilities for pesticides or emptied containers and egWpimEnt used or to be used in the treatrrrent. <br /> [Foran PR-ENF-'125 (Rev. 07192)Pesticide Enforcement Branch� <br /> k <br /> FF <br /> Petmit Applicant: S_ ) Signed: <br /> � easy Priest <br /> A 1, 71 <br /> F'. Title: W �'\ae Issue Date: l` S `It-,, <br /> { ( ease Print <br /> Issuing Officer Issue Date: 1 , <br /> { <br />