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Y <br /> SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br /> -- _210-1_E EARHART-AVE, SUITE 100 <br /> w: :� — - --- --STOCKTON, CA 95206 — ---- ---- -- --- <br /> `6a� - r. Office: (209)953-6000 Fax: (209)953-6022 <br /> ' c•._ _� P Email: stocktonag2@sjgov.org Web: %ww•co.san-joaquin.ca.us/agcomm <br /> '9C(FO'RCY <br /> ' RESTRICTED MATERIALS PERMIT: 39-15-3903109 <br /> Operator: G &E TEVELDE ORCHARDS, INC. #3903109-2015-Version: 1 <br /> ' 27815 E DODDS RD County District#: C <br /> ESCALON, CA 95320 Issued on: <br /> Valid as of: /6-/S <br /> Agent: GEORGE A. TEVELDE Expires on: 12/31/2015 <br /> Primary Phone: <br /> Alternate Phone: <br /> ' Mobile Phone: <br /> Fax: <br /> Type of Use: Agricultural Use Notices Of Intent required 24 hours <br /> Pesticide Possession: Possession and Use prior to application of pesticide <br /> Permit Duration: Seasonal containing restricted materials <br /> ' Permit Conditions: A, P,O, O,Y,W, B See condition detail for <br /> code descriptions. <br /> ' Regulatory Notes: <br /> --------------------------------------------------------------------------------------------------------------------------------------- <br /> I understand that this permit does not relieve me from liability for any damages to any persons or property caused by the <br /> use of these pesticides. I waive any claims of liability for damages against the County Department of Agriculture based <br /> on the issuance of this permit. I further understand that this permit may be revoked when pesticides are used in conflict <br /> ' with the manufacturer's labeling or in violation of applicable laws, regulations,and specific conditions of this permit. <br /> authorize inspection at all reasonable times and whenever an emergency exists by the Department of Pesticide <br /> Regulation or the County Department of Agriculture of all areas treated or to be treated, storage facilities for pesticides or <br /> emptied containers and equipment used or to be used in the treatment. I have considered alternative and mitigation <br /> ' measures pursuant to Title 3, California Code of Regulations, section 6426. Taking into account economic, <br /> environmental, social,and technological factors, I have adopted those that are feasible and would substantially lessen <br /> any significant adverse impact on the environment. <br /> ' [Form PR-ENF-125(Rev 11/06)Pesticide Enforcement Branch] <br /> Applicant: � /,f. pyrsJoGe�f <br /> t (Name 8 Td ) <br /> Applicant <br /> Applicant Signature: ,,ems Date: <br /> Issuing Officer:, G�Z � Date: <br /> ' Page 1 <br />