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SAN JOAQUIN COUNTY <br /> .1868 E. HAZELTON AVENUE <br /> STOCKTON , CA 95205 � � <br /> Office: ( 09)468-3300 Recorder (NOI ) : ( 209 )468-3300 FAX: ( 209)468-3330 <br /> RESTRICTED MATERIALS PERMIT PERMIT/OPERATOR I .D. #: 39-99-3901419 <br /> County HQ District # : A U01 <br /> ZOTTARELLI RANCH Expiration Date: 12/31/1999 199 <br /> Issue Date : 01/01/1_9AA' <br /> 13039 S HIGHWAY 99 �r�( <br /> MANTECA, CA 95336- <br /> Home: ( 209 )823-011 <br /> CLARKE MAREK' Shop: ( 209 )823-6743 <br /> 13101 S HIGHWAY 99 Mobile: <br /> MANTECA, CA 95336- <br /> FOR RESTRICTED <br /> 5336-FORRESTRICTED MATERIALS PERMIT-USE ONLY <br /> - Poss. Only [ ] Seasonal [X] Poss. & Use [X] ,Job L ] <br /> Permit Type : A9. PCO ( ] Private App LX] Non-Ag ( ] <br /> Permittee Type: Q.A.. Cert ( ] <br /> NOI required 24 hours prior to application. Modem [XJ Fax [XJ <br /> Method: Phone [XJ Box [XJ -Person-LXJ ______________________________ <br /> ---- -------------------------=====Form. -Methods) Applicator( s) <br /> ---_-__ <br /> Numb Pesticide Pest( s) ----------------- <br /> � ---------- -----------_ --------- -----�----------- PCO Grower <br /> 1051 SEVIN Larvae Liquid Ground PCO Grower <br /> 1360 CHLOROPICRIN Nematode Fumigant Fuoundte PCO Grower <br /> 3141 GUTHION Mites PCO Grower <br /> 3850 METHYL BROMIDE Soil/Stared Fumigant Fumigate PCO Grower <br /> Fumigant Fumigate PCO Grower <br /> 4840 ALUMINUM PHOSPH Rodents gait Other <br /> 5540 STRYCHNINE Gophers PCO Grower <br /> r. Liquid Ground PCO Grower <br /> 9801 2 ,4-D Ay1INE Weeds Liquid Ground <br /> 16011 PARAQUAT PCO Grower <br /> 16891 SUPRACIDE <br /> Larvae Liquid Ground <br /> Non-Ag Use: <br /> .. Conditions: PQWe from <br /> liabilityfor <br /> I-understand that this-permit doeshnotrelieuse ofthese-pesticidesl waive ay <br /> ama�e <br /> ariy <br /> to persons or property caused by t of <br /> claim of liability rofathsspermitst Ihfurtheryunderstandtthat Athis upermit <br /> based on the issuance <br /> may be revoked when pesticides are used in conflict with the manufacturer s <br /> Llabeling or intiolpermition o Ipauthor_ izeplicable lanspectionaataallns areasonable nd ctimes and <br /> conditions o the Department of Pesticide Regulation or the <br /> whenever an emergency exists, by <br /> L ure of all areas <br /> treated or to be treated, storage <br /> County Department of Agricult <br /> facilities for pesticides or emptied <br /> c�53a{Rev 02/16/90)ntiners and mob <br /> PesticideEnforcement <br /> used in the treatm <br /> Branch] <br /> L-ASign: �/�,G• <br /> Permit Applicant: Cj_4SRKC � �`-'`1 <br /> Title:`=�"� Date: 12. tQJ"�� <br /> Date: 99 <br /> issuing Officer: <br /> r. <br />