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SAN JOAQUIN COUnTI'Y <br /> 1868 E. HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Web URL :www. co. san-joaquin . ca .us/agcomm <br /> E-Mail : <br /> Office : (209)468-3300 Recorder (NOI ) : (209)468-3300 FAX: (209)468-333 <br /> ---------------=-----------------------=-===PERMIT # 39-04-390I419= <br /> RESTRICTED MATERIALS PERMIT County HQ District # : A <br /> yOZ'rAT2ELLI RANCH Effective <br /> Date: 12/31./2004 <br /> Effective Date . O1Z-9x/],$� <br /> 13101 S HIGHWAY 99 <br /> j <br /> MANrECA, CA 95336- <br /> Home: (209)823-0110 <br /> CLARKE MAREK Shop: (209)823-6743 <br /> 13039 S HIGHWAY 99 Fax: <br /> MANTECA, CA 95336- Mobile <br /> ermit a Possession NOI Method of Submission- <br /> Fermittee Type FTYFS ----------- ------------------------- <br /> -------------- ___----- Pass & Use IX} Phone 1XI Fax 1XI <br /> Private App IX} Seasonal 1XI Box 1XI Modem 1XI <br /> Q A Cert I I Job I I Foss Only I I In person 1XI Web I I <br /> Ag PCO I } NOI required 24 hours prior-to-application <br /> Non-Ag <br /> Non-Ag Use : PQWZ <br /> Conditions : PQW <br /> from liability <br /> for <br /> I understand that tthis ermit ris caused doeby not <br /> relieve <br /> e use Of these pesticideslwaiv sdamage <br /> any <br /> to persons property <br /> claim of liability for damages against the County Department of Agriculture <br /> per <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 /> at all resonale ties and <br /> conditions of this permit . I <br /> authorize <br /> artmentlof pesticideaRegublationmor the <br /> whenever an emergency escists, by P <br /> e of all arras treated ui to be treated, storage <br /> County Department of Agricultur <br /> facilities for pesticides or emptied containers and equipment used or to be used <br /> in the treatment . [Form PR-ENP-125 (Rev. 07/92) Pesticide Enforcement Branch] <br /> Permit Applicant : <br /> O—LAf,—KE __ S icon: t/rA /1And)/C ' <br /> Titl Issue Date: <br /> Issue Date: <br /> O / ®2 z ©oma <br /> Issuing Officer : <br /> Page 1 <br />