Laserfiche WebLink
SAN JOAQUIN COUNTY / <br /> 1868 E. HAZELTON AVENUE <br /> STOCKTON , CA 95205 <br /> Office : ( 209 )468-3300 Recorder ( NOI ) ( 209 )468-3300 FAX: ( 209 )468-3330 <br /> RESTRICTED MATERIALS PERMIT PERMIT/OPERATOR I .D. # : 39-96-3901076 <br /> County HQ District # : B <br /> COSTA INC . , DAN Expiration Date : 12/31/96 <br /> 1269 SPRING CREEK DR. Issue Date : <br /> RIPON, CA 95366- <br /> DAN COSTA R Home : ( 209 ) 599-3567 <br /> 1269 SPRING CREEK DR. Shop: ( 209 ) 599-2120 <br /> RIPON, CA 95366- Mobile : ( 209 )531-6135 <br /> FOR RESTRICTED MATERIALS PERMIT USE ONLY <br /> Permit Type : Poss . Only ; Seasonal ;X ; Poss . & Use ;X ; Job <br /> Permittee Type : Q.A. Cert ; Ag . PCO ; Private App ;X; Non-Ag <br /> NOI required 24 hours prior to application. <br /> Method: phone ; X ; box ;X; person ;X ; modem ;X ; fax ;X <br /> Numb Pesticide Pest( s ) Form. Method( s ) Applicator( s ) <br /> ----- --------------- ------------ -------- ---------------- ----------------- <br /> 1051 SEVIN Larvae All Reg Ground PCO Grower <br /> 1980 DIAZINON Larvae Liquid Air Ground PCO Grower <br /> 2000 DICAMBA Weeds Liquid Air Ground PCO Grower <br /> 2301 DI-SYSTON Aphid Liquid Air Ground PCO Grower <br /> 3141 GUTHION Mites All Reg Ground PCO Grower <br /> 3822 SLN METASYSTOX- Liquid Air Ground PCO Grower <br /> 3824 METASYSTOX-R Aphid Liquid Ground PCO Grower <br /> 3830 METHOMYL Larvae Liquid Air Ground PCO Grower <br /> 4840 ALUMINUM PHOSPH Rodents Fumigant Fumigate PCO Grower <br /> 5540 STRYCHNINE Gophers Bait Other PCO Grower <br /> 7860 MCPA, DIMETHYLA Weeds Liquid Air Ground PCO Grower <br /> 9801 2 , 4-D AMINE Weeds Liquid Air Ground PCO Grower <br /> 16011 PARAQUAT Weeds Liquid Air Ground PCO Grower <br /> 19102 VYDATE Nematode All Reg Ground PCO Grower <br /> *** Pesticides continued on next page *** <br /> Non-Ag Use : <br /> Conditions : PQ <br /> ------------------------------------------------------------------------------- <br /> ------------------------------------------------------------------------------- <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 /> 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 /> 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 <br /> used in the treatment . [Form 33-125/v3 . 53 ( Rev. 02/16/ ) ticide Enfo ement <br /> Branch] ��►�\�_- <br /> Permit Applicantt, � `ti �� Sign: <br /> Title : 5���� Date : <br /> Issuing Officer: Wl _ ��'�u�c. � Date : Lf � �� �� <br />