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RESTRICTED MATERIALS PERMIT# 39-zt-3900869 <br />SAMUEL, JACOB <br />CONTACT LIST <br />Page 2 of 4 <br />Expires: 12/31/2021 <br />Name <br />Auth Rea. Phone <br />License Expiration <br />Contact Type <br />HAMILTON <br />SERVICES <br />31516 12/31/2022 <br />Pest Control Business <br />SAMUEL, <br />JACOB <br />3900612 12/31/2020 <br />Private Applicator <br />Certificate <br />SAMUEL, <br />JACOB <br />127236 12/31/2021 <br />Qualified Applicator License <br />PESTICIDES <br />LIST <br />Number <br />Pesticide <br />Pests <br />Forms <br />Methods <br />Applicators <br />105 <br />CARBARYL <br />LARVAE <br />Liquid <br />Air/Ground <br />PCB/Operator <br />484 <br />ALUMINUM PHOSPHIDE <br />RODENTS <br />Fumigant <br />Ground <br />PCB/Operator <br />554 <br />STRYCHNINE <br />GOPHERS <br />Bait <br />Ground <br />PCB/Operator <br />626 <br />ZINC PHOSPHIDE <br />RODENTS <br />Bait <br />Ground <br />PCB/Operator <br />806 <br />2,4-D AMINE <br />WEEDS <br />Liquid <br />Ground <br />PCB/Operator <br />1601 <br />PARAQUAT <br />WEEDS <br />Liquid <br />Ground <br />PCB/Operator <br />2049 <br />BRODIFACOUM <br />RODENTS <br />Bait <br />Ground <br />PCB/Operator <br />2135 <br />BROMADIOLONE <br />RODENTS <br />Bait <br />Ground <br />PCB/Operator <br />4014 <br />DIFETHIALONE <br />RODENTS <br />Bait <br />Ground <br />PCB/Operator <br />5942 <br />DIFENACOUM <br />RODENTS <br />Bait <br />Ground <br />PCB/Operator <br />99999 <br />NON-PEIRMI I AG PROD <br />ALL PESTS <br />All Reg. <br />Air/Ground <br />PCB/Operator <br />SITES REQUIRING SCHOOLSITE NOTIFICATION <br />There are currently no sites requiring schoolsite notification <br />List current as of 01/08/2021- check with the County Agricultural Commissioner's Office for an updated list. <br />SITES LIST <br />Site Location I Site Name District Section (MTRS) <br />Commodity Name/Code Quantity <br />6-1 JK RANCH 3110 S. ESCALON BELOTTA RD. C M01N09E16 <br />WHEAT FOR/FOD 122007-0 12 ACRES <br />Pesticide #s: 484 (ALUMINUM PHOSPHIDE), 554 (STRYCHNINE), 626 (ZINC PHOSPHIDE), 806 (2,4-D AMINE), 1601 <br />(PARAQUAT), 2049 (BRODIFACOUM), 2135 (BROMADIOLONE), 99999 (NON -PERMIT AG PROD), 5942 <br />(DIFENACOUM), 4014 (DIFETHIALONE) <br />Conditions: Appendix H - Aluminum Phosphide and Magnes, Q - DICAMBA AND PHENOXY HERBICIDES <br />1-2 S/COMSTOCK 1/2M E/BEECHER H M02N07E12 <br />WALNUT / 3009-0 9 ACRES <br />Pesticide #s: 105 (CARBARYL), 484 (ALUMINUM PHOSPHIDE), 554 (STRYCHNINE), 626 (ZINC PHOSPHIDE), 806 (2,4-D <br />AMINE), 1601 (PARAQUAT) <br />Conditions: Appendix H - Aluminum Phosphide and Magnes <br />