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aaQ." N SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE) <br /> 210-1-E-EARHART AVE,SUITE 100 , <br /> N R STOCKTON, CA 95206 <br /> Office (209)953-6000 Fax: (209)953-6022 <br /> Email: stocktonag2@sjgov.org Web: www.co.san-joaquin.ca.us/agcomm <br /> �o- <br /> ' RESTRICTED MATERIALS PERMIT: 39-14-3903109 <br /> Operator: G&E TEVELDE ORCHARDS, INC. #3903109-2014-Version: 1 <br /> 27615 E DODDS RD County District#: C <br /> ' ESCALON, CA 95320 Issued on: / --1—)'01 r1 <br /> Valid as of: 1/1/2014 1 <br /> ' Agent: GEORGE A. TEVELDE Expires on: 12/31/2014 <br /> Primary Phone: <br /> Alternate Phone: <br /> ' Mobile Phone: <br /> Fax: <br /> Type of Use: Agricultural Use <br /> ' Pesticide Possession: Notices Of Intent required 24 hours <br /> Possession and Use prior to application of pesticide <br /> Permit Duration: Seasonal containing restricted materials <br /> ' Permit Conditions: A, P, Q, 0,W, B See condition detail for <br /> code descriptions. <br /> ' Regulatory Notes: <br /> t ------------------------------------------------------------------------------------ <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: GAO a4 <br /> ' (Name&Me) <br /> Applicant Signature: ) Date: a — 3 <br /> Issuing Officer: ' / �- Date: l <br /> 4 <br /> ' Page 1 <br />