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2003 <br /> L SAN JOAQUIN COUNTY <br /> 1368 E . MAZELT014 AVENUE <br /> STOCK7r.111, CA 9S205 <br /> Wfeb URL. :ww— co . san-ina,uin . ca . us%agcomm <br /> F - - <br /> f ,. 3 • 4�: �'Fr_ :�r:a, t7t; , } y6; ;0G FA`s. L` .?0 9 1 468-3330 <br /> 4 R=_ T?'FTC'T"Er MATErIALS PERMIT PERMIT !R : 39--03-3900146 <br /> r.'. unty° HQ :7iatrlr_`� tl : i) <br /> FLOP., DINO Expiration. Date , 12.z32i2003 <br /> P O BOX 567 Effect ive lutea . 03. 2_4. 2003 <br /> L114DE14 . CA 9523b- <br /> L I)It3G FLOR, Harrie . ; 209 ; 387. ?407 <br /> P O BOX 567 <br /> LINDEN. CA 95236- Shap : J209 )887-3075 <br /> Fax : <br /> Mobile ! ) <br /> �. Permittee Type Permit Type PosseS.szi10n NOT Method of Submission <br /> - ------------------ <br /> `-- --~^ - <br /> Private App IXf Seasonal 1X1 Voss b Use IXI Phone 1X1 FaxIXI <br /> Q A Cert I I Sob 1 1 Pose Only I I Box <br /> Ag PCO I I In Person 1X1 webx <br /> " <br /> I i I I <br /> Non-Ag i I NOI required 24 hours prior to application <br /> Non-Ag U-c e . Nona <br /> Conditions : P(xMZ QC#14286 <br /> I understand that this permit does not-relieve-me from liability-for anydamageto persons ar prt.Aperty caused by the use of thecae peetic•ides . 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 authorise 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 /> r facilities for pesticides or emptied rontainers and equilpment used ;7°r to he used <br /> L, in the treatment [Form PR--EINF-12{ (Rev. ,�� 1 F'�+c ticidF, Enf .�rcement F'Yednch3 <br /> bw <br /> Title . I. sue Date . Z <br /> I Ii.ng 0ffi ^er I:--,Zeue Date . LC O3 <br /> i <br /> L <br />