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�.. SAN JOAQUIN COUY <br /> 1868 R HAZELTON AVENUE <br /> STOCK-TON, CA 95205- <br /> E-mail: Web!w .co.smi-ioaquin.ca.us/azcomm - <br /> Office: (209}468.3300 Fax: (209)468.3330 Recorder(NOI's): (209)468.3300 <br /> .RESTRICTED MATERIALS PERMIT <br /> R.W FARMS Permit Number: 39-05-3902114 <br /> 11142 RAINES RD. County District#: J <br /> PATTERSON, CA 95363 Expiration Date: December 31,2005 <br /> Effective Date: 3m mffy- 1—rM <br /> ROBERT WILLIAMS Rome Phone: <br /> 11142 RAIINES RD Shop Phone: <br /> PATTERSON, CA 95363 Mobile Phone: (209) 601-3909 <br /> Fax: <br /> Permittee 'lope: Private Applicator NOI Method of Submissiom <br /> Permit Type: Seasonal Phone: X Fax: X Box: <br /> Possession: Possession & Use In Person: X Modem: Web: x <br /> NOI required 24 hours prior to application. <br /> Conditions: AP,Q See and o:permit lPr <br /> Cade deseAptione, <br /> ---------------------------------------------- <br /> I understand that this permit does not relieve me from liability for any damages to any persons or property caused <br /> by the use of these pesticides. I waive any claims of liability for damages against the County Department or <br /> Agriculture based on the issuance of this petmit. I further understand that this permit maybe revoked when <br /> pesticides are used in conflict with the manufacturer's labeling or in violation of applicable laws,regulations and <br /> specific conditions of this permit I authorize inspection at all reasonable times and whenever an emergency exists <br /> by the Department of Pesticide Regulation or the County Department of Agriculture of all areas treated or to be <br /> treated,storage facilities for pesticides or emptied contains and equipment used or to be used in the treatment. <br /> [Fc m PR-ENF-125 (Rev.07192)Pesticide Enfaxe nent Branch) <br /> 1 r <br /> Pennit Applicant DI]F n l l RrnS Si€ned: <br /> Print.) <br /> Title: PKN 9 Issue Date: 1� $Lo S <br /> Please Print) <br /> Issuing,Officer. Issue Date: <br />