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- -- <br /> SAN <br /> SAN JOAQUIN COUNTY <br /> 2101 ERAREART. SUITE 100 <br /> — STOCKr0N,CA_95206__ _— ._. _ <br /> --- ----- --- — ---- ---- —Web-.INW.eosanjoagiau.ca.uslagcomm--- - -- - — <br /> Office:(209)953-6000 Fat:(209)953-6022 Recorder CNOI's): (209)953-6000 <br /> 1 <br /> RF.STRTCTF.T)MATF.RTAT C PF.RMTT <br /> G&r:F.T . .T.M.ORMART).r, TNC Permit Nnmher- 39-13-3903109 <br /> 27R15 F nonnS RT) Couniv District* C <br /> RSCAT.0N CA 45320 Expiration Date: December 31,2013 <br /> Effective Date: Januaty4- " <br /> CRORCR A T -VF7.T)R Home Phone: <br /> 27R15 R T)01*)Dr%RT) Shop Phone: <br /> FSCAT.ON CA 4 120 Mobile Phone: <br /> Fax: <br /> Pemoittee Tvpe: Private Applicator NOI Method of Submission. <br /> Petri-t-Tvpe: 5ea3nnal . Phone: Y Fax:Y Box: Y <br /> Possession: Possession &Use In Person: Y Web:X <br /> NOI required 24 hours vrior to aovlication- <br /> Conditious: A,OP,Q,W See end of Permit for <br /> code descriptions. <br /> ------------------------------------------------- <br /> I understand that this permit does not relieve me from liability ftranydarnagestoanyperssais�prgaettycaused <br /> by the use of these pesticides. I waive any claims of liability for damages against the County Department of <br /> Agriculture based on the issuance of this permit I further understand that this permit may be revoked when <br /> pesticides are used in conflict with the manufacuaor's labeling or in violation of applicable latus,regulations and <br /> specific conditions of this parnit I authorize inspection stall reasonable times and whenever an emergency mdsm <br /> by the Depertrneot of Pesticide Regulation or the County Department of Agriculture of ell areas treated or to be <br /> treated,storage facilities for pesticides or emptied containers and eguipmerit used or to be used in the treatment <br /> I have conside-ed alternatives and mitigation measures pursuant to Title 3,California Code of Regulations,section 6426. <br /> Taking into account economic,enwironnental,social,and tedmolcgical factors,I have adopted thane that are feasible <br /> and would substantially lessen any significant adverse impact on the environment. <br /> (FoznPR-MU-125 (Rev. 11/06)Pesticide Enforcement Branch <br /> Permit Applicant 0!515e_e'0?e XI ���✓$(<!e Signed:—C; � <br /> (Please Ptiw) <br /> Title: Issue Date: )/Li/Ze I <br /> {Aerie Ptirrt) . / <br /> Issuing Officer: �/.Ct��y7 J� :di �`" h-1 Issue Date: Y' <br /> i <br />