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AIN"OAQ COUNI 7 <br /> VT , <br /> ��-lu��1: ,;del_+:�.vuruT.au.sera-joarj�in.oa+as�agcorctai <br /> Office: (3094�F-3300 _Fax: (209'A69-333�J Y�2coltieri�Ji3Tsj: t�G9} 6o-s 7f <br /> ,s M UN!:E"_Pd 1E,&T'-C Pee lut Number: 39-06-1901 �r <br /> 17 OCY .- RIVER RD <br /> a Ia. ➢!`5, CA q 5#66, RtpiT?fi:! Date: i vn e- 31, ti t <br /> Effi i 'Ve.Date: -IaTmi— y 1, 200. , <br /> s LEyyJ_—fii) R1 Ji?l [�htyPhone, <br /> h Ie_ (209)45919-118,65 <br /> q <br /> = 9 c919- <br /> h- "1 gi:- gg <br /> _ E`--N, 4__,. 953-- <br /> Fax: <br /> iYl{,io13�..Phone, f. <br /> Fax: 209-799-1 9' <br /> -Penni1t3e. Ts__p-_ Private A.,mpl ca-W-i N01 R' effic-d of <br /> .e}+ffnuit Type: SE'a${9Ftal Paa me: X F;_:�: X <br /> r <br /> pEJSs s.1ctt1 & Use h3 Pe son: X <br /> mokkm a._ % X25-ie: <br /> I''of rl-quip NI 2" 11OU S gBnor to c3a3'o icafi u. <br /> see olid of perMit 11XI- <br /> ,;r�?�wi�scriG:iiorEs. <br /> --- -- ,a., a C l�i'SO72'-5 n2'v-�1'L,1�'C caused <br /> I understand 11Yat 11115 permit does not relieve me fre�In liability for;iYy dainaaes to:z—-r;1. '� - k' _�`?'" <br /> r <br /> i:iy tlye use of.these k esticidt'_5. T waii/a aiYy cl311I1s o li8}:?ility fc2'd:iYs.3gFS:f-purn51 the t'_'.ou1Yty L1t'_partSnt'I?L sti <br /> A4-icultUr e based on the issuance of t1y15 permit. T fur trier u derst&-id dhat this Permit i-,ay)?e revoked vi '_e` <br /> 1'ie.sticides are used in conflict\?fitly ti-Le in—iufacti r ells labeling or-, j;io,,atli�IY of app iia,,ie 13��,;I',gpl'ti n s al.d <br /> Specific,conditions of this permit. !aiffljorize ii-tspectlon at all reasonable times and vii'12enever an eviae'r£g.'e'_ycy List: <br /> by the 1_�eF ai--neiyt of Pesticide 1_}epillatioiy or the County E, <br /> of�€�'iCLltLir? •{ ll 3 e;�treated +i'f53 is <br /> treated,:onaige facilities COI•Pesticides or F'1.21`13fied ccxitslilers and erp l'1rinent used or to be used in dhe fi`s-';'tnietit. <br /> [F;>rin P - �-l.�-1 25 tl-Rev. 01/92'Pesticide En orceiinertt Branch <br /> j <br /> 12.sue Date., <br /> Please Print) <br />