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��"nufly c SA. OAQUIN COUNTY AGRICULTURAL CO iISSIONERS OFFICE <br /> 2101 E EAR HART 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.tislagcomm <br /> RESTRICTED MATERIALS PERMIT: 39-21-3904457 <br /> Operator:ROUND VALLEY RANCHES #3904457-2021-Version: 1 <br /> P O BOX 885 County District#:F <br /> VICTOR, CA 95253 Issued on:12/8/2020 <br /> Valid as of:1/112021 <br /> Agent:SHINN,AARON Expires on:12131/2021 <br /> 9631 E PELTIER RD Primary Phone: <br /> ACAMPO Alternate Phone: <br /> CA 95220 Mobile Phone: <br /> Fax: <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 D u ration:M ulti-Year restricted materials <br /> Employees Handle Pesticides <br /> Permit Conditions:GWP-C&D 1,GWP-C&D 2,GWP-C&D 3,GWP-C&D 4, GWP-DIRECT 1,GWP- See condition detail for <br /> DIRECT 2,GWP-1-1, GWP-L2,GWP-L3,GWP-NC,GWP-R1,GWP-R2,GWP-R3, code descriptions. <br /> Regulatoty 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 11106) Pesticide Enforcement Branch] <br /> Applicant: 4�� S"cl4 DLII 'L -C <br /> (Name&Titte) + ll (J <br /> Applicant Signature: - Date: L OG <br /> 1 <br /> Issuing Officer:_y 1��: -�,y�� Date: 1 � • (,� a - 2cq (� <br /> Page 1 <br />