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RESTRICTED MATERIALS PERMIT contPage <br /> CCRRAD! , MICHAEL Permit 4z 39-98-3900067 <br /> �_:�=_= =-=_=_._•____-__.c. EE____-______SAFETY <br /> ORKERS <br /> A- 3 through A-3 General info. _ _ B-1 Cholinester _ <br /> PERMIT _.O'ND]•-_itNS ATTACHED <br /> ---------------------------------------------------------------------------------- <br /> f •;a_ 0 '-' Di.__ioi ba _- i:=:-oxy Herbicides - Central V_t_ le yi�Hazardo s r <br /> [mss , a - DicaiTb C Phano s ` Special Hazardous Area ' <br /> _ •3 _ _-- metam Sodium (V_t:,F---}am) <br /> r. <br /> EW T - Aldir_if b ( r_f`'ik ) <br /> _ U - ,._:Ido_:{.:l f an (Thiodan ) <br /> ,'f Rice_e Pestis es Program <br /> M -1 '_i-1 _!v r Worker Safety <br /> t__ <br /> Attachments - ,. 'o 11.1 3 a t e ( 1 ,6) t I `3 b + _:K 3J i .._, _ . i j y _ - ._o•;'.. _. <br /> (3,6) , methylparathion (4,9) and malathion (voluntary: 5Q) <br /> 03 W Methy! Bromide <br /> Soil within greenhouses <br /> Commooity <br /> EW ' <br /> orl <br /> h FuraL n F=!•:*_3Tiga ii'1 of g ape!3 . <br /> Z Other_i_e _ <br /> PESTICIDE SALES: GROUNDWATER PROTECTION <br /> - 3 m 'S - <br /> material am purchasing will not b used a_. <br /> in � vt3.i=j.d Management <br /> Z a= described in Section 6802, Title 3California .ode of Reg-- <br /> '_.j, i,=-,= fv." agricultural , LiLdt=:Cr institutional or udo --'- <br /> A a. <br /> The material I am purchasing ;':iii be is.SLfJ 1:: _- =':?st1.=idC Management Zone <br /> (-mss 'escribed in Section 6OO2, Tile Z, CaliforniaCode of Regulations) <br /> for Lvt-=i ; outdoor institutional or outdoor industrial use and _a <br /> CLIpy Of my restricted ma=2ri?l= permit is attached <br /> Material--- p-_ -;-tom,=-=d: E_'j Atrazine raj •71..i:ciziSir=r `_ t _%tr o±Tiatii <br /> j ,✓ice-.. _�5 _.j r•rs=:,me to i 1 _ t Beit_azo <br /> _ <br /> .. Certify Li1-de penalty Of perjury that the foregoing statement is true, <br /> and that 1 will ii~+iii apply any material listed in :jAt-}'ion 6200( a) in any <br /> Pesticide Management Zone for agriculture, outdoor institutional Or <br /> outdoor industrial uses exceptin accordance with a permit issued by the <br /> +:t agricultural" '' _ -__ -ter r �_-= director in a county in which <br /> county "-� _i_i_ii =� r-�.,. �i.:E: t�?i-___. <br /> there is no commissioner. <br /> -- --- --- <br /> Purchaser <br /> ---- - W_a <br />