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3 <br /> SAN JOAQU N COUNT <br /> 1868 E.HAMTON AV04UE <br /> L ST cKTON,CA 95205- <br /> E-Mail: Web:www.cv.ssn-joagsic.ca.Us/*oanm <br /> Office:(9)4U."Do Fahr:(209)468-3330 Recorder(Mrs):(209)468.3300 <br /> RBS�"1tICIBD MATBR#AL�4 PST <br /> .w i u i u nri i.nn.rr <br /> CAFFESE,EUCEM Permit Number: 3945-3900062 <br /> 5475 VAN ALLEN RD Coin Duct#: D <br /> STOCK ON,CA 95245- Flan Date: December 31, 2405 ' <br /> LEffective Date: 7r3,#=#'9 v <br /> EUGEM CAFFESE Haan Phone: . (209)463-8067 <br /> . 5475 VAN ALIEN RD Shop Phowe: {2119}463-9406 <br /> STOCKTON,CA 95205- Moble Phots: (209)481-3956 <br /> FMC <br /> Pcmnittea TYPO: QACtQAL NOI Medwd of Sarbud de : <br /> Pamit TYK Semond Phone: X Frac B= X <br /> }' Possession: Posseaeion&Use In Pmoz X Modem Web- <br /> NOI required 24 hoes prior to application <br /> Cal>MM., A,P,Q sat and ofparnmit fW <br /> code descr*d a. <br /> AM <br /> t i underWWA haat We permit does not relieve roe from liability for any damages to any persons or properly caused <br /> by the use of these pesticides. I waive any claims of liability for damages against the County Department of <br /> Agricultia+e based on the issuance of this permit. I farther understand that this permit may be twgoked when <br /> pesticides are used in conflict with the manufac ovule labeling or in violation of applicable lays,regulations and <br /> specific coalitions of this permit I sithorize inspection at all reasonable times and whenever an ernoWmicy e3das <br /> by the Depart of Pesticide Relation or the County Depi rtmert of Agriculture of all areas treated or to be <br /> Vested,storage facilities for pesticides or emptied containers and equipment used or to be used in the treatment. <br /> [Form PR-Ebi'F-125 (Rev.07/92)Pesticide Enforcement Branch J <br /> V <br /> PeMft AVPNCKM f 1, C SiMed: ItIW <br /> E <br /> i <br /> TW. lfsspe Dom: <br /> ass <br /> �s 'o�cet• VA Ism Dve: <br />