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oil t++r� SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br />�C••.... <br />'—"F" ''`.� 2101 E EARHART AVE, SUITE 100 <br />STOCKTON, CA 95206 <br />�`� Office: (209) 953-6000 Fax: (209) 953-6022 <br />+ - Email: stocktoneg2@sjgov.org Web:%vwv/•co.sanjoaquin.ca.usiagcomm <br />RESTRICTED MATERIALS PERMIT: 39-18-3901377 <br />Operator:VAN GRONINGEN & SONS # 3901377 -2018 -Version: 1 <br />15100 S JACK TONE RD County District #:B <br />MANTECA, CA 95336- Issued on: <br />Valid as of:1/112018 <br />Agent:VAN GRONINGEN, ROBERT <br />Type of Use:Agricultural Use <br />Pesticide Possession: Possession and Use <br />Permit Du ration: Seasonal <br />Employees Handle Pesticides <br />Permit Conditions:A, GWP -L3, GWP -R3, P. Q, W. B, D. T, OL <br />Regulatory Notes: <br />BRYAN VAN GRONINGEN <br />Expires on:12131/20,18 <br />Primary Phone: <br />Alternate Phone: <br />Mobile Phone: <br />Fax: <br />Notices Of Intent required 24 hours prior <br />to application of pesticide containing <br />restricted materials <br />See 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 p•operty 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. 1 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 />[Form PR-F_NF-125 (Rev 11/06) Pesticide Enforcement Branch] <br />Applicant Sig <br />Issuing <br />Page 'I <br />