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SAN JOAQUIN 1..vUNT'i <br /> 1868 E . HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Web GIRL :+area . c« . sen-j oaquin ca . us/ate- comm <br /> E-mail : <br /> Office : ( 209 ) 468-3300 Recorder (NOI ) : ( 209 ) 468-3300 FAX: ( 209 ) 468-3330 <br /> County HCS-District 9 , D--------------- <br /> F' RESTRICTED MATERIALS-PERMIT PERMIT # : 39--05-3900505- <br /> ' ZOLEZZI , M & R Expiration Date : 12/31/2005 <br />'1 7.7787 E FRONT Effective Date . D-1, '"`W <br /> LINDEN: CA 95236- <br /> O//O 7�1ao� <br /> RI CHARD ZOLEZZI Home t ( 2091887-3763 <br /> � F <br /> E FRONT Sho :1p LINDEN, CA 95236-- Fax: <br /> I Mobile <br /> F=---- <br /> ----------------_� <br /> FPermittee TypePer ttli t Type Possession NOI Method of Submission <br /> ------------- ---------__- -------------- --------------------_-_---- <br /> Private App 1 X I Seasonal I I Piss° & Use JXJ Phone I X j Fax I I <br /> i A Cert 1 I Job I I Posy Only I € Sox IX( Modem I I <br /> At PCO I I In Person IXI Web I 1 <br /> NOI required 24 hours pair=r to application <br /> F <br /> Non--Ag Use : None <br /> C0ta�'iti ons P ,Q, 1, -� QAL LIC 37148 <br /> I�understand that this permit does not relieve me~from-liability-for-any damage <br /> to persons or property caused by t-he use of these pesticides . I waive any <br /> -laim of liability for ddmacres against the County Department of Agriculture <br /> ' based on the issuance of this Dermit . 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 authori=e inspection at all reasonable times and <br /> whenever an emergency exists, by the Department of Pesticide Regulation or the <br /> FCounty Department of Agriculture of all areas treated or to be treated , storage <br /> facilities for pesticides of emptied containers and equipment used or to be used <br /> .in the treatment . [Farm PR-ENF-125 (Rev. 07/92 ) Pesticide Enforcement Branch! <br /> F <br /> PRr-r�i t Applicant : 1f ��Wh-m ZOL L- Sign : <br /> Title : �s"� Issue Date : <br /> { <br /> Fi=�s <br /> Iu_ng officer , Issue <br /> 6W 'Page Issue E38te : <br /> F <br />