SU0004894 SSCRPT - Laserfiche WebLink

Home Browse Search

' SAN SOAQUIN COUNTY 1868 E . HAZELTON AVENUE STOCKTON, CA 95205 3 Web URL :www. co . san-joaquin. ca. us/agcomm E-mail : Office : ( 209 )468-3300 Recorder tNOI ) : (209 ) 468-3300 FAX: ( 209) 468-3330 V RESTRICTED MATERIALS PERMIT PERMIT # : 39-05-3904572 County HQ District fi : E L WATTS INC, E C Expiration Date : 12/31/2005 17010 N LOCUST TREE RD Effective Date : 0 LODI , CA 95240- RICHARD WATTS Home : (209 )368-8606 L 17010 N LOCUST TREE RD Shop ! ( ) - LODI , CA 95240- Fax: Mobile Permittee Type Permit Type Possession NOI Method of Submission -------------- ------------ -------------- -------------------------- Private App 1X1 Seasonal 1X1 Pose & Use 1XI Phone 1XI Fax Q A Cert I ( .lob I I Foss Only I I Box 1XI Modem Ag PCO I I In Person 1XI Web `Non-Ag I I NOI required 24 hours prior to application .Non-Ag Use : None Conditions : PU ` I understand that this permit does not relieve me from liability for any damage to persons or property caused by the use of these pesticides . I waive any claim of liability for damages against the County Department of Agriculture based on the issuance of this permit . I further understand that this permit `may be revoked when pesticides are used in conflict with the manufacturer 's labeling or in violation of applicable laws, regulations and specific conditions of this permit . I authorize inspection at all reasonable times and whenever an emergency exists, by the Department of Pesticide Regulation or the County Department of Agriculture of all areas treated or to be treated, storage facilities for pesticides or emptied containers and equipment used or to be used in the treatment . [Form PR-ENF-125 (Rev. 07/92) Pesticide Enforcement Bra h] I Permit Applicant : S sign : Title : Issue Date : Issuing Officer : Issue Date : 360 6 Fage 1 r. v