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�.• �•• SAN JOAQUIN WtfT 2 o <br /> 1868 E. HAZELTON AVENUE <br /> STOCKTON, CA 95205- <br /> E-mail: Web:www.msan-joanum.ca.uslageor o,,y,,/ <br /> Off-ice: (209)468.3300 Fax: (209)468.3330 Recorder(NOPs): (209)468-33001/ <br /> RESTRICTED MATERULS PERAM <br /> EXPORT INIPORT ASSOC INC Permit Number 39-06-3943133 <br /> Count`+Di—Adet#: C <br /> 17495 S SEIDNER <br /> ESCALON, CA 953211- Expiration Date: December 31,2046 <br /> Effective Date: January 1,1"- AODI <br /> M11 BRUG'I'E.LLI Horne Phone: (209)838-7049 <br /> 17493 S SEIDNER r Shop Phone: (209')838-70-49 <br /> ESCALON, CA 95320- Mobile Phone: ( ;` s <br /> Fax: 5$l-8 q34 <br /> Pernsittee Type: Private Applicator NOI Method of Submission: <br /> Permit Type, Seasonal Phone: X Fax: X Box: X <br /> Possession Possession&Use In Person: X Modem: Web: X <br /> NOI required 24 hours prior to application. <br /> CONSIODYTY FUMIGATION <br /> See end of peanrt for <br /> Conditions: AP,t��N/ code deawiotivns. <br /> �- I understand that this penut does not relieve nie froin liability for any damages Lowly persons or property caused <br /> by flee 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 pam'iit tnar be revoked when <br /> pesticides are used in conflict with the maiufacturees labeling or in violation of applicable laws,reulatiois and <br /> specific conditions of this permit 1 authorize inspection at all reasonable times aid whenever an emergency exists <br /> by the Department of Pesticide Regulation or the County Department of AWiculttre of all areas treated or to be <br /> treated,storage facilities fix pesticides or emptied containers and-equipment used or to be used in the treatment. <br /> a <br /> [Form PP-RWF-125 (Rev. 0/92)Pesticide l<nforcemenntBnsnch] <br /> Penns AppiigEmpt: -AWN P)VV&" 8.(.1.1 Si _A — — <br /> (Pleese pr-1t) <br /> ;;2� <br /> Tffle: 6F"1VYtx YWP— Issue Date: <br /> r''p'm//aye <br /> Issuing officer: Issue Date: <br />