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n u iN SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br /> 2101 E EARHART AVE, SUITE 100 <br /> ' y STOCKTON, CA 95206 <br /> Office: (209) 953-6000 Fax: (209)953-6022 <br /> e• ;�p Email: stocktonag2@sjgov.org Web: wwwco.san-joaquin.ca.uslagcomm <br /> ' C/FOR <br /> OR <br /> RESTRICTED MATERIALS PERMIT: 39-13-3900236 IGINAL <br /> ' Operator: LAGORIO,V&A #3900236-2013-Version: 1 <br /> 14625 E COMSTOCK RD County District#: D <br /> t LINDEN, CA 95236- Issued on: I a-ig-I K0 <br /> Valid as of: <br /> Agent: LAGORIO,VIC Expires on: 12/31/2013 <br /> ' Primary Phone: <br /> Alternate Phone: <br /> Mobile Phone: <br /> ' Type of Use: Agricultural Use Fax: <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 /> Employees Handle Pesticides <br /> Permit Conditions: A, P. Q, 0,Y.W 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. I <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: N4-l5 <br /> ' Nam= ,Tide) <br /> Applicant Signature: ZDJ5 " Date: <br /> ' Issuing Offi r: Date: <br /> ' Page 1 <br />