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SAN JOAQUIN COUNTY <br /> r. 1868 E . HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Web tJRI, :www . co . san-joaquin . ca . us•lagcomm <br /> _ E-Mail : <br /> Office : ( 209 ) 468- 3300 Recorder (NOT ) : ( 209 ) 468--3300 FAX: ( 209 ) 468-3330 <br /> r FSTP.ICTE?1 MATERTALS7 PERMTT PFPMTT # ' 39-05-3900341 <br /> PEZZI ORCH.ARDD^ F:3 p .r.�t z cAn Date . 12,/311200! <br /> 332 _JEAN AVE Fffa= ti'rs� Date- <br /> STOCK-L-01-4, <br /> ate <br /> TOCK-L- 1.4, CA 9 51: u 7 <br /> JEFF STFVE2±S Horne : ( 20 ) 931 -C;477 <br /> 332 JEAN AVE <br /> STOCKTON. CA 95207- ` Shap : ( 2u9 )973 G769 <br /> Fax: <br /> Mobile <br /> - Permittee Type Permit Type Posseasion NOI Method of submission <br /> -------------- ------------------- <br /> Private App 1 1 Seasonal 1X1 Pass & Use 1X1 Phone 1X1 Fax - 1x1 <br /> Q A Cert 1 X 1 Job 1 1 Pose Only 1 ( B+J 3i 1 X i Modem f i <br /> •- A I PGJ 1 1 In Person 1 X j Web I i <br /> Mon-Ag I ► NOT required 24 hours prior to applicatior <br /> ------------------------------------------------------------------------------- <br /> Non-Ag Use: Norse <br /> Conditions : PQW QAC# 15762 D.H <br /> ------------------------------------------------------------------------------- <br /> I understand that this permit doe`, 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 . 1 further understand that the f.,errnit <br /> may be revoked when pe ti.cides are used in conflict with the raanufacturer ' ._ <br /> labeling or in %,,I 3lation :-Tf app: 3 cable 1 xjww . ::,c-g..iiat iOCIS.' `.?alt1 ti ;.- <br /> k:,onditiono of "his 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 tae treated . -tor age <br /> facilities for peztic.ides• or emptied container - and equipment used or to be uxe: <br /> in the treattraent . (Farm[ PIIZ,--ENF-125 (Rlev . 07192 ) En.ort_: ment Branch) <br /> Permit Applicant . sic n : <br /> Title ._ Ad&.'P- Issue Date <br /> ow I Suing Offi r' . It ILi-_,_4 Date . <br /> par_le i <br /> r <br />