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1865 E . HAZELTON AVENUE <br /> STOCKTON . 7A 9520E- <br /> Wet URL : www . ac . san-3oaquin . ca . usYagcomni <br /> E-Mail <br /> 01tace 02DU466-3303 Recorder CNOI ) t209 ) 468-1200 FAX : i209 , 468-333, <br /> iESTAICTED MATERIALS PERMIT PERMIT 4 : 39-03-3904674 <br /> County HQ District 0 : F <br /> V & V FARMS Expiration Date : 12:3112003 <br /> P 0 BOX 22d4 Effective Date : 02V03z2003 <br /> LOD! , CA 95241- <br /> JOSE C VIRAMONTES Home <br /> 8216 E PELTIER RDShop : <br /> Far <br /> Mobile : ( 209 ) 482-6806 <br /> Permittee Type Permit Type Possession MOI Method of Submission <br /> -------------- ------------ -------------- <br /> r ivate App 1XI Seasonal 1XI Poss & Use 1XI Phone 1XI Fax IX! <br /> ". A Cert I I Job i i Poss Only I I Box I I Modem JXI <br /> Ag PCO I j In Person 1XI Web 1X! <br /> mon-Ag I NOI required 24 hours prior to application <br /> Mon-Ag Use : None <br /> Dnditions : PQW <br /> 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 /> claim of liability for damages against the County Department of Agriculture <br /> ased on 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 /> conditions of this permit . I authorize inspection at all reasonable times and <br /> henever an emergency exists , by the Department of Pesticide Regulation or the <br /> ounty Department of Agriculture of all areas treated or to be treated . storage <br /> 71cilities for pesticides or emptied containers and equipment used or to be used <br /> in the treatment . [Form PR-ENF-125 (Rev . 07192 ) Pesticide Enforcement Branch] <br /> Permit Applicant : Al+/Rnk,71� g rjc� <br /> Tit!--- .- Issue Date : 3 <br /> 119 <br /> I s s u i n g Officer : &Isoue Date : <br /> Zge -I <br />