Laserfiche WebLink
SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br /> 2101 E EARHART AVE, SUITE 100 <br /> �e STOCKTON, CA 95206 <br /> Office: (209) 953-6000 Fax: (209)953-6022 <br /> CiFp 7... o-.• EEmail: stocktonag2@sjgov.org Web: `Nwv✓.co.san-Joaquin.ca.uslagcomm <br /> " R� <br /> RESTRICTED MATERIALS PERMIT: 39-13-3904556 <br /> _ Operator: VAN EXEL FARMS #3904556-2013-Version: 1 <br /> 19919 VAN EXEL RD County District#: G <br /> LODI, CA 95242- Issued on: /2-// J02-^ <br /> Valid as of: /ll ( 13 <br /> Agent: KOOGER,CORNELIS P Expires on: 12/31/2013 <br /> Primary Phone: <br /> ,(n�FT*T(� Alternate Phone: <br /> VIaGI Mobile Phone: <br /> Fax: <br /> Type of Use: Agricultural Use Notices Of Intent required 24 hours <br /> Pesticide Possession: prior to application of pesticide <br /> Permit Duration: Seasonal containing restricted materials <br /> Employees Handle Pesticides <br /> Permit Conditions: A, GWP-R2, GWP-R5, P, Q. 0, B 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 <br /> on the issuance of this permit. 1 further understand that this permit may be revoked when pesticides are used in conflict <br /> with the manufacturer's labeling or in violation of applicable laws, regulations, and specific conditions of this permit. I <br /> authorize inspection at all reasonable times and whenever an emergency exists by the Department of Pesticide <br /> Regulation or the County Department of Agriculture of all areas treated or to be treated, storage facilities for pesticides or <br /> emptied containers and equipment used or to be used in the treatment. I have considered alternative and mitigation <br /> measures pursuant to Title 3, California Code of Regulations, section 6426. Taking into account economic, <br /> environmental, social, and technological factors, I have adopted those that are feasible and would substantially lessen <br /> any significant adverse impact on the environment. <br /> [Form PR-ENF-125(Rev 11/06)Pesticide Enforcement Branch] <br /> Applicant: L&'-/IeLrf 9 R <br /> (Name STille / <br /> Applicant Sig re: Date: /2 /�/y/1 2 <br /> Issuing Officer: Date: Ia <br /> Pagel <br />