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SAN JOAQUIN COUNTY F, e�' <br /> 1863 E. HAZELTON AVENUE 2,003 <br /> STOCKTON, CA 95205 <br /> Office: (209)468-3300 Recorder (NOI): (209)468-3300 FAX: (209)468-3330 <br /> --------------------------- <br /> - ---------------------------------- --------------- <br /> RESTRICTED MATERIALS PERMIT Permit#: 39-03-3901048 <br /> County HQ District#: B <br /> R J M ENTERPRISES, INC Expiration Date: 12/31/2003 <br /> 18700 E RIVER RD Effective Date : 01/02/2001 <br /> RIPON, CA 95366 <br /> - GREG S CARDEY Horne: (209)59.9-1186 <br /> 18700 E RIVER RD Shop: (209)599-1136 <br /> RIPON, CA 95366 Fax: <br /> Mobile: ( > - <br /> -------------------------------------------------------------------------------- <br /> -------------------------------------------------------------------------------- <br /> Permittee Type Permit Type Possession NOI Method of Submission <br /> -------------- ------------ -------------- -------------------------- <br /> Private App [X] Seasonal [X] Poss & Use [X] Phone [X] Fax [X] <br /> Q A Cert [ ] Job [ ] Poss Only [ ] Box [X] Modem [_X7 <br /> Ag PCO [ ] In Person [X] <br /> Non-Ag [ ] NOI required 24 hours prior to application <br /> ------------------------------------------------------------------------------- <br /> ------------------------------------------------------------------------------- <br /> Numb Pesticide Pest(s) Form. Method(s) Applicator(s) <br /> ----- --------------- ------------ -------- ---------------- ----------------- <br /> 812 BOTRAN DUST FUNGI Dust Air Ground PCO Grower <br /> 1041 CAPTAN DUST FUNGI Dust Air Ground PCO Grower <br /> 1051 SEVIN LARVAE All Reg Air Ground PCO Grower <br /> 1061 FURADAN NEMATODE Liquid Ground PCO Grower <br /> 1360 CHLOROPICRIN NEMATODE Fumigant Fumigate PCO Grower <br /> 1980 DIAZINON LARVAE All Reg Air Ground PCO Grower <br /> 3141 GUTHION MITES All Reg Air Ground PCG Grower <br /> - 3462 KELTHANE DUST MITES Dust Air Ground PCO Grower <br /> 3691 MANEB DUST FUNGI Dust Air Ground PCO Grower <br /> 3830 METHOMYL LARVAE All Reg Air Ground PCO Grower <br /> ****** PESTICIDES CONTINUED ON NEXT PAGE <br /> Non-Ag Use: <br /> Conditions: PQWZ <br /> -------------------------------------------------------- <br /> I understand that this permit does 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_ I further understand that this per"'it <br /> may be revo7Ked when pesticides are used in conflict with the manufacturers <br /> - labeling or in violation of applicable laws, regulations and specific <br /> conditions of this permit. I authorize inspection at all reasonable times and <br /> whenever an emergency exists, by the Department of Pesticide Regulation or the <br /> ,. <br /> County Department of Agriculture of all areas treated or to be treated, storage <br /> facilities for pesticides or emptied containers and equipment used or to be used <br /> in the treatment. [Form PR-ENF-125 (.Rev. 07/92) Pesticide Enforcement Branch] <br /> � y 1 <br /> Permit- rLpliCc^.n:... �`� Sign: <br /> Title: J Date: <br /> bon <br /> Issuing Office - Date: <br />