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oc 4.0!.y. c SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br /> 2101 E EARHART AVE, SUITE 100 <br /> < STOCKTON, CA 95206 <br /> Office: (209) 953-6000 Fax: (209) 953-6022 <br /> Email: stocktonag2@sjgov.org Web: www•co.san-joaquin.ca.us/agcomm <br /> RESTRICTED MATERIALS PERMIT: 39-20-3903311 <br /> Operator:TRIPLE S FARMING/S-K RANCH #3903311-2020-Version: 1 <br /> 17350 FRONT STREET County District#:C <br /> LINDEN, CA 95236 Issued on:/.��� G��9 <br /> Valid as of:1/1/2020 <br /> Agent:SUNBURY,TIM Expires on:12/31/2020 <br /> Primary Phone: <br /> Alternate Phone: <br /> Mobile Phone: <br /> Fax: <br /> Certified Applicator: SUNBURY,TIM Phone: <br /> 17350 FRONT ST License#:3997769 <br /> LINDEN, CA 95236 Expiration:12/31/2020 <br /> Type of Use:Agricultural Use <br /> Pesticide Possession: Notices Of Intent required 24 hours prior <br /> Possession and Use to application of pesticide containing <br /> Permit Duration:Multi-Year restricted materials <br /> Employees Handle Pesticides <br /> Permit Conditions:Appendix C,Appendix H 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 on <br /> the issuance of this permit. I further understand that this permit may be revoked when pesticides are used in conflict with <br /> the manufacturer's labeling or in violation of applicable laws, regulations, and specific conditions of this permit. I authorize <br /> inspection at all reasonable times and 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 facilities for pesticides or emptied <br /> containers and equipment used or to be used in the treatment. I have considered alternative and mitigation measures <br /> pursuant to Title 3, California Code of Regulations, section 6426. Taking into account economic, environmental, social, <br /> and technological factors, I have adopted those that are feasible and would substantially lessen any significant adverse <br /> impact on the environment. <br /> [Form PR-ENF-125(Rev 11/06)Pesticide Enforcement Branch) <br /> Applicant: ` � N\O\ ) <br /> 4&TWe)Applicant Signature �/�� Date:7 <br /> Issuing Office �I ,� Date: <br /> Page 1 <br />