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vactN SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br /> 2101 E EARHART AVE SUITE 100 <br /> • ��< STOCKTON, CA 95206 <br /> ° .;'e Office: (209)953-6000 Fax: (209) 953-6022 <br /> • r <br /> Email• stocktona 2 sJov.or9 Web: mvwco,sanqoaquh.ca.us/agcomrn <br /> RESTRICTED MATERIALS PERMIT: 39-18-39010248 <br /> Operator:LOMBARDI FARMS, J #t 3900248-2018-Version: 1 <br /> 16998 E GAWNE RD County District#:D <br /> STOCKTON, CA 95215 Issued on: !J�?5'2--01 <br /> Valid as of: t 'L 5-1 2'tj I'Z <br /> Agent.,LOMBARDI,J OE Expires on:12/31/2018 <br /> Type of Use:Agricultural Use Notices Of Intent required 24 hours prior <br /> Pesticide Possession:Possession and Use to application of pesticide containing <br /> Permit Duration.-Seasonal restricted materials <br /> Employees Handle Pesticides <br /> Permit Conditions:A,P,Q,W, B, D see condition detail for <br /> code descriptions. <br /> Regulatory Notes: <br /> ---------------------------------------------------------------------------------------------------------------------------------------- <br /> 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 maybe 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 /> IForrn PR-ENF--125(Rev 11106)Pesticide Enforcement Branchl <br /> Applicant: I Applicant Signatu Date: ':7 i <br /> Issuing Offtc bate: C •- �' <br /> /.`�� f�Q <br /> Page 1 <br />