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�Qut SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br />2101 E EARHART AVE, SUITE 100 <br />n E„aii STOCKTON, CA 95206 <br />>�f1Wt�ii 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: 39-20-3904457 <br />Operator:ROUND VALLEY RANCHES <br />P O BOX 885 <br />VICTOR, CA 95253 <br />Agent:SHINN, AARON <br />9631 E PELTIER RD <br />ACAMPO <br />CA 95220 <br />Type of Use:Agricultural Use <br />Pesticide Possession: Possession and Use <br />Permit Duration:Multi-Year <br />Employees Handle Pesticides <br />## 3904457 -2020 -Version: 2 <br />County District #:F <br />Issued on: 1/6/2020 <br />Valid as of. 1/6/2020 <br />Expires on: 12/31/2020 <br />Primary Phone: <br />Alternate Phone: <br />Mobile Phone: <br />Fax: <br />s <br />Notices Of Intent required 24 hours prior <br />to application of pesticide containing <br />restricted materials <br />Permit Conditions: GWP -L3, GWP -R3, Appendix C, Appendix H, P See condition detail for <br />Site Conditions: GWP -L1, GWP -L2, QL 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: <br />(Pfa&& Titie) �— <br />Applicant Signature: /"" ��- <br />Date: <br />Issuing Officer: Date: <br />Page i <br />O2 - G <br />