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�. . <br /> sAta JOAQUIN a3uNTx a <br /> 1868 E . HAZELTON AVENUE OdZ <br /> STOCKTON, CA 95205 <br /> Web URL:www . co . san-joaquin . ca . us.�agcomm <br /> E-Mail <br /> 1. Office : ( 209 ) 468-3300 Recorder (NOI ) : ( 209 ) 468-3300 FAX: ( 2097468-3330 <br /> L RESTRICTED MATERIALS PERMITPERMIT # 39-02-3903187 <br /> County HQ District # : C <br /> L GREEN FARMS Expiration Date : 12-'31/200: <br /> 30324 E LONE TREE R13 Effective Date : �y <br /> OAKDALE, CA 95361- eC -2 �g'Q' <br /> RICK GREEN Home: ( 209 )348-0401 <br /> 30324 E LONE ':REE RD Shop : ( 209) 848-0401 <br /> OAKDALE, CA 95361- Fax: <br /> LMobile : ( 209 )985-3930 <br /> LPermittee-Type Permit Type Possession-- NOI Method of Submission <br /> --------- ------------ ------------ ----------------- --------- <br /> Private App 1X1 Seasonal 1X1 Pose & Use 1X1 Phone IXI Fax 1X1 <br /> Q A Cert 1 1 job i I Pose Only 1 I Box 1X1 Modem i I <br /> � Ag PCO 1 1 In Person 1X1 Web 1X1 <br /> Non-Ag 1 1 DIOI -required 24 hours prior to applicatiar <br /> LNon-Act Use: None <br /> Conditions : PQVZ <br /> I 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 /> L based on the issuance of this permit . I further understand that this permit <br /> may 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 /> L whenever an emergency exists, by the Department of Pesticide Regulation or the <br /> County Department of Agriculture of all areas treated or to be treated, storage <br /> facilities for pesticides or emptied containers and equipment used or to be uses <br /> in the treatment . (Form PR-ENF-125 (Rev. 07/92 ) Pesticide ,p-fd%rcement <br /> L <br /> Permit Applicant : -LzQ,FF/ � J Sign : <br /> L Title : d V <<' Issue Date: <br /> Issuing Officer : Issue Date : <br /> L Page 1 <br /> L <br /> L <br />