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SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br /> 2017 <br /> 2101 E EARHART AVE, SUITE 100 <br /> STOCKTON, CA 95206 <br /> Office: (209) 953-6000 Fax: (209) 953-6022 <br /> c 7 Email: stocktonag2@sjgov.org Web: www.co.san-joaquln.ca.us/agcomm <br /> GlFpR� <br /> RESTRICTED MATERIALS PERMIT: 39-17-3900236 <br /> Operator:LAGORIO, V&A #3900236-2017-Version: 1 <br /> 14625 E COMSTOCK RD County District#:D <br /> LINDEN, CA 95236- Issued on: <br /> ' Valid as of: (—/ -Z 017 <br /> Agent:LAGORIO,VIC Expires on:12/31/2017 <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 prior <br /> Possession and Use to application of pesticide containing <br /> ' Permit Duration:Seasonal restricted materials <br /> Employees Handle Pesticides <br /> Permit Conditions:A, P, Q,V, 0, Y. W, B, D, QL, M 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 on <br /> the issuance of this permit. I further understand that this permit may be revoked when pesticides are used in conflict with <br /> the manufacturer's labeling or in violation of applicable laws, regulations, and specific conditions of this permit. I authorize <br /> inspection at all reasonable times and whenever an emergency exists by the Department of Pesticide Regulation or the <br /> ' County Department of Agriculture of all areas treated or to be treated, storage facilities for pesticides or emptied <br /> containers and equipment used or to be used in the treatment. I have considered alternative and mitigation measures <br /> pursuant to Title 3, California Code of Regulations, section 6426. Taking into account economic, environmental, social, <br /> ' and technological factors, I have adopted those that are feasible and would substantially lessen any significant adverse <br /> impact on the environment. <br /> (Form PR-ENF-125(Rev 11/06)Pesticide Enforcement Branc1h],, <br /> Applicant: .t Cit Q vo f <br /> ' Applicant Signature: Date: <br /> Issuing Offic r: Date: s ( ;.,,a/ <br /> 1 <br /> ' Page 1 <br />