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1 <br /> Aa,,,l,y SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br /> as.•°- °°0 2101 E EARHART AVE,SUITE 100 <br /> STOCKTON,CA 95206 <br /> Fax: (209)953-6022 <br /> Office (209)9b3-6000 www.co.sanAoacjuin.camslagcomm <br /> �..,_:.. g @ 19 <br /> Email: stocktona 2 s ov,org Web: <br /> '�Ci`roR� <br /> RESTRICTED MATERIALS PERMIT: 39-19-3900248 4 3900248-2019-Version: 1 <br /> Operato r.LOM BARD I FARMS,J County District MD <br /> 18998 E GAWNE RD Issued on:1f7/2019 <br /> SToCKTON,CA 95215 Valid as of:11712019 <br /> Agent:LOM BARDI,JOE <br /> Expires on:12131/2019 <br /> Primary Phone: <br /> Alternate Phone: <br /> Mobile Phone: <br /> Fax: <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 Fiandle Pesticides See condition detail for <br /> Permit conditions.-Appendix c,Appendix K Q code descriptions. <br /> Regulatory Notes: <br /> -------------------------------------------------- <br /> --------------------------------- <br /> j <br /> I understand that this permit does not relieve me from liability for any damages to any per <br /> or property caused by the <br /> i; use of these pesticides.I waive any claims of liability for damages against the County Department of Agriculture based on <br /> j erstand that this permit may be revoked when pesticides are use <br /> the issuance of this permit. i further undd in conflict with <br /> ii the manufacturer's labeling or in violation of applicable laws,regulations, <br /> and specific conditions of this permit. 1 authorize <br /> emergency exists by the Department of Pesticide Regulation or the <br /> inspection at all reasonable times and whenever an <br /> j; to be treated,storage facilities for pesticides or emptied <br /> County Department of Agriculture of all areas treated or <br /> l containers and equipment used or to be used in the treatment. I have considered alternative and mitigation measures <br /> 26, <br /> pursuant to Title ical factors, lrh have adopted tha Code of iosle that are feasons, section ible andkwouing ld substantially lessen any to account economic, significant adverse <br /> !� and technological <br /> impact on the environment. <br /> [Form PR-ENF-125(Rev 11106)Pesticide Enforcement Branch] <br /> ) Jf o <br /> Applicant :7)` i" -9h1-1 <br /> Ite: <br /> Applicant Signatui <br /> 1 <br /> i <br /> issuing Offic te: <br /> i <br /> i <br /> I' <br /> ff <br /> i+ <br /> �1 <br /> Page 1 <br /> '1 <br /> 1 <br />