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SAN _7OAQUIN COUNTY <br /> 1868 E . HAZELTON AVE . <br /> STO(--KTc_iN, CA 95205 <br /> Office ; ( 209 )468-3300 Recorder.' (NOI ) FAX : ( 209 )468-3330 <br /> RESTRICTED MATERIALS PERMIT PERMIT/OPERATOR I ,D. # : 39-95-3904187 <br /> County HQ District. : E <br /> GOEHRING FARMS Expiration Date : 12/31/95 <br /> 1'172'1 N CURRY RD Issue Date : <br /> LODI ,, (_A 9 3 240- <br /> E, W RD EHR.IN T <br /> a Uc_) �(' <br /> Home : ( 209 ) 368-T612 <br /> 13 721 N CURRY RD Shop: ( ) - <br /> TciDI , CA 95240- <br /> Mobile : <br /> -------------- --------------- <br /> FOR RESTRICTED MATERIALS PERMIT USE ONLY <br /> Permit Type : Poss . Only ' tie : r <br /> � i Seasonal ;X i PAG^ . R; T GeX Job ' <br /> Permittee Tyke : Q.A. .ert. > > ' <br /> 1 c_ , Ag , PCO ; ; Private App ; Y ' Non-AQ ' <br /> NOI rerquired 24 hours prior to appliation. <br /> Method : phone ;Xi box iXi person ;X; modem f i x ' <br /> Numb Pesticide <br /> -------pest.( s )----Form. <br /> _______________________________________ <br /> Method( s ) Applicator( s ) <br /> ------- -------- <br /> ---------------- ----------------- <br /> 1051 SEVIN Larvae Liquid Ground PCO Grower <br /> 1061 FURADAN Nematode Dust Ground Pi_O Grower <br /> 1360 CHLOROPICRIN Nematode Fumigant. Ground PCO Grower <br /> 2591 THIODAN Larvae Liquid Ground pro Grower <br /> 3691 MANEB DUST Fungi Granules Air Gro�_ind Pc-:Ci Grower <br /> •38:150 :METHYL BROMIDE Soil/Stored Fumigant. Ground PCO Grower <br /> 16011 PARAQUAT Weeds Liquid Ground PCO Grower <br /> 18571 NEMAi:UR Nematode Fumigant. Ground PCIO Grower <br /> `Tori-Ag Use : <br /> Conditions : P?' <br /> I understand that this- permit does not relieve me from liability for any damage <br /> to person; or property- caused by the use of these pesticides . I waive any: <br /> claim of liability for damages against. the County Department. of Agriculture <br /> base(-71 on the issuance of this permit , I further. understand that this permit <br /> .nay he revoked when pesticides are used in conflict with the manufacturer' s <br /> labeling or in violation of applicable laws , regulations and specific <br /> ^ondit.ions of this permit , I authorize inspection at all reasonable times and <br /> ;,henever an emergency exists, by the Department. of Pesticide Regulation or the <br /> County- Department. of Agriculture of all areas treated or to be treated, st.ora.ge <br /> fa.c.ilit.i es for pesticides or emptied containers and equipment used or to be <br /> .ised in the treatment , [Form 33-125/v3 , 53 (Rev, 02/16/90 est.ir. ' de nforcemen` <br /> Br=anch i <br /> Permit. Applicant. : C10-y- e-3' mIffidE.C'46 <br /> , S; o <br /> Title : Date ; <br /> Issuing Officer, i7ata : <br />