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RESTRICTED MATERIALS PERMIT: 39-19-3900236 Operator: LAG ORI 0, V& A 14625 E COMSTOCK RD LINDEN, CA 95236- Agent:LAGORIO, ANGELO Type of Use:Agricultural Use Pesticide Possession: Possession and Use Permit Duration: Seasonal Employees Handle Pesticides Permit Conditions:Appendix C, Appendix H, Appendix D, Q, QL, R Regulatory Notes: # 3900236 -2019 -Version: 1 County District #:D Issued on:12/17/2018 Valid as of:1 /1 /2019 Expires on:12/31/2019 Primary Phone: _ Alternate Phone: Mobile Phone: - Fax: Notices Of Intent required 24 hours prior to application of pesticide containing restricted materials See condition detail for code descriptions, I understand that this permit does not relieve me from liability for any damages to any persons or property caused by the use of these pesticides. I waive any claims of liability for damages against the County Department of Agriculture based on the issuance of this permit. I further understand that this permit may be revoked when pesticides are used in conflict with the manufacturer's labeling or in violation of applicable laws, regulations, and specific conditions of this permit. I authorize inspection at all reasonable times and whenever an emergency exists by the Department of Pesticide Regulation or the County Department of Agriculture of all areas treated or to be treated, storage facilities for pesticides or emptied containers and equipment used or to be used in the treatment. I have considered alternative and mitigation measures pursuant to Title 3, California Code of Regulations, section 6426. Taking into account economic, environmental, social, and technological factors, I have adopted those that are feasible and would substantially lessen any significant adverse impact on the environment. [Form PR-ENF-125 (Rev 11106) Pesticide Enforcement Branch) Applicant:'• Applicant Signature: Issuing Officer: Jolt, Page 1 Date:'Z- Date: { 7