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2Q p2 <br /> SAN JOAQJ I N COUNTY <br /> 1868 E . HAZELTON AVENUE <br /> STOCKTON. CA 95205 <br /> Hieb URL ! www co . a=an-j oaguin . ca . us,-agcomm <br /> E-Mail - <br /> Office <br /> ( 2091468-3300 Recorder (NOI 1 ! ( 203 ) 463-3300 FAX: ( 209 1468-3330 <br /> 1 <br /> RESTRICTED MATERIALS PERMIT PERMIT # : 39-02-3900187 <br /> County HQ District # : I <br /> GOLDEN R I14C Expiration Date : 12!131/2002 <br /> 11981 S ROEiERTS RD Effective Date r 90 <br /> ' :STOCKTON, CA 95206- 1 r1��0 A <br /> MARVIN FOSTER Home , ( 209 ) 462-4738 <br /> ` 11981 S ROBERTS RD Shop : ( 209 ) 962-3075 <br /> L STOCK_TON, CA 95206- Fax: <br /> Mobile ( ) - <br /> ----------- <br /> Permittee Type Permit Type Possession NOI Method of submission <br /> L -------------- ------------ -------------- ----------- <br /> Private App JXJ Seasonal 1__I POS2 c_ Ua:e 1 I Phone 1XI Fax I <br /> tD A Cert I I Job I I Poss Only 1XI EC,x 1XI Modem I I <br /> Ag FCO 1 In Person 1XI web I I <br /> N8n-Ag I I NOI required 214 hours prior to application <br /> Non-Ag Use , None <br /> Conditions : PQTZ <br /> I understand that this permit does not relieve me from liability for any damage <br /> to persons or property caused by the use of these pesticides . I waive any <br /> claim of liability for damages against the County Department of Agriculture <br /> based on the issuance of this permit . I further understand that this permit <br /> mal, 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 authorize inspection at all reasonable times and <br /> ,; henever an emergency exists, by the Department of pesticide Regulation or tri_ <br /> County Departiaent of Agriculture of all areas treated or to be treated, s=torage <br /> facilities for pesticides or emptied containers and equipment used or to be usec' <br /> in the treatment . [Form PR-ENF-125 (Rev. 07192 ) Pesticide Enforcement B nCri] <br /> Permit Applicant .- <br /> T1tle : y CIN Issue Date : <br /> Issuing Off icer' �/�� � Issue Date : � � L <br /> Page 1 <br />