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araul,N„ SAN JOAQUIN COUNTY AGRICULTURAL_ COMMISSIONERS OFFICE ya17 <br />2101 E EARHART AVE, SUITE 100 <br />Ale <br />STOCKTON, CA 95206 <br />.r <br />Office: (209) 953-6000 Fax: (209) 953-6022 <br />Email: stocktonag2@sjgov.org Web: www.co.san-Ioaqurn.ca.ustagcomm <br />RESTRICTED MATERIALS PERMIT: 39-17-3900451 <br />Operator: CORTOPASSI, V <br />9611 N. TULLY RD, <br />LINDEN, CA 95236 <br />Agent:MUZIO,EUGENE <br />Certified Applicator: MUZIO, EUGENE <br />12500 E. FAIRCHILD <br />STOCKTON, CA 95215 <br />Type of Use:Agricultural Use <br />Pesticide possession: Possession and Use <br />Permit Du ration: Seasonal <br />Employees Handle Pesticides <br />Permit Condltlons:A, P, Q, V, O, B <br />Regulatory Notes: <br /># 3900451 -•2017 -Version: 1 <br />County District #:H <br />Issued on: t --1- 7or� <br />Valid as of-, 1/112017 <br />Expires on:12131/2017 <br />Primary Phone: <br />Alternate Phone: <br />Mobile Phone: <br />Fax: <br />Phone: <br />License #:104086 <br />Expiration: 12/31/2017 <br />Notices Of Intent required 24 hours prior <br />to application of pesticide containing <br />restricted materials <br />Sea condition detail for <br />code descriptions. <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 />[Foran PR-ENF-125 (Rev 11 /06) Pesticide Enforcement Branch] <br />Applicant: <br />(Name & nwe) <br />Applicant Signature: <br />ISSUing Officer: <br />Page 1 <br />Date: j -L -`r1,) .. C , <br />Date: <br />