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' Stud JOA COUMIY <br />AGRICULTURAL OSP SIONrm ° S OFFI(.n-! <br />PESTICIDE OONTALNER' DISPOSAL =IFYINTE' <br />r� <br />APPLICATION 1:. . 11110. 4 :`yf ,,, 5 <br />I certify that this load of pesticide containers has been eontinuousl,,i rinsed <br />triple ins i in accordance with Section 66,034 of the <br />Regulati6hs .� <br />I` PERSON IN POSSESSION `f REPBJfM,1T12JG <br />CERTIFI <br />This ij to certify tY�at ✓ ✓ empty pesticide containers to be tra:is ported <br />on vehicle VA � 6 � � ( license number) have lin inspected and found to be <br />canpletely drained, punctured at both ends, and apparently in cis pliance with Section 6684 <br />of the California Code of Regulations. The containers may be received by the following <br />disposal sites. ®, <br />Foothill Sanitary Landfill - Waverly Road <br />Lovelace Transfer Station - Lovelace Road ERWIN B • =1 <br />y'Harney Lane Landfill AG RICU.LTURAL 00 E9ISSI%TR <br />Corral Hollow Landfill (First 4 Working ) ? <br />i t l - <br />Days of Vbnth) r ? '1 <br />Inspector <br />THE DELIVERY SHALL BE MADE ONLY ON { /��� <br />r <br />— Date <br />White - Agricultural Camdssicner ' Date <br />Canary - Applicant/To be left with Dump Operator <br />Rev. 6.88 (250)N <br />