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SAN JOAQUIN, COUNTY <br /> 1868 E. HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> yfrice: (209)468-3300 Recorder (NOI ) : ( 209)468-3300 FAX: (. 209)468-3330 <br /> RESTRICTED MATERIALS PERMIT Permit# : 39-0G-3902114 <br /> County HQ District*: J <br /> " BH I,NG-WILLIAMS INCExpiration Date : 12 3'l/2'9O0 <br /> 33600 KOSTER RD Effective Date : 01/01/2000 <br /> TRACY, CA 905376- <br /> ROBERT WILLIAMS Home : ( 209)835-2792 <br /> 33600 KOSTER RD Shop: (209 )835-2792 <br /> TRACY, CA 95376- Fax: <br /> Mobile: (BOB)601-3903 <br /> ------------- ----------- <br /> 7 Type Permit Type Possession NOI Method of Submission <br /> -------------- ------------ -------------- -------------------------- <br /> Private App [Xj Seasonal [X] Poss & Use [Xj Phone [X] Fax [X] <br /> ` � A Cert [ ] Job [ ] Foss Only [ j Box [X] Modem [ ] <br /> 'g PCO [ ] In Person [X] <br /> Non-Ag [ j NOI required 24 hours prior to application <br /> UumbPesticide Pest(s) Form. Method( s) - Applicator(s ) <br /> --- ---------------- -------------------- ------------------------------------ <br /> ----------------- - ---- <br /> ----- --------------- ------------ -------- ---------------- ----------------- <br /> ,'Oi AMINO TRIAZOLE WEEDS Liquid Ground PCO Grower <br /> X1051 SEVIN LARVAE Liquid Air Ground FCC Grower <br /> {„1061 FURADAN NEMATODE Granules Air Ground rrC Grower <br /> 2000 DICAMBA WEEDS Liquid Air Ground PCO Grower <br /> 301 DI-SYSTON APHID Liquid Air Ground PCO Grower <br /> ►. 542 DYFONATE' CENTIPEDE Liquid Ground PCO Grower <br /> 3141 GUTHION MITES Liquid Ground FCO Grower <br /> 3822 SLN ,!EIASYSTOX- Liquid Air Ground PCO Grower <br /> 3824 METASYSTOX-R APHID Liquid Air Ground PCO Grower <br /> ^3830 METHOA;YL LARVAE Wettable Air Ground FCO Grower <br /> ****** PESTICIDES CONTINUED ON NEXT PAGE * * * <br /> cvob-AS Use : <br /> onditions : FQ <br /> kL 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 /> iaim of liability ,for damages against the County Department of Agriculture <br /> used or, the issuance of this permit . I further understand that this permit <br /> y be revoked when pesticides are used in conflict with the manufacturer' s <br /> labeling or in violation of applicable laws, regulations and specific <br /> i -,onditions of this permit . I authorize inspection at all reasonable times and <br /> L,-henever 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 <br /> L°ac cities for pesticides or emptied containers and equipme t used or to be. used <br /> ira the treatment . Form FR- NF-125 (Rev. 07/92 ) Pesticide n oro men _ranch] <br /> ` Permit Applicant : \1\PWIrS Sign: <br /> L Title : pate : <br /> LIssuing Officer : Date : <br /> L <br />