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av�ry SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE <br /> +"..o <br /> 2101 E EARHART AVE, SUITE 100 <br /> STOCKTON, CA 95206 <br /> Office: (209)953-6000 Fax: (209)953-6022 <br /> • 6• "'e • @ Email: slocktona 2 s'gov.org Web: w .cosawIoaquin.ca.uUagcomm <br /> 9 1 <br /> RESTRICTED MATERIALS PERMIT: 39-20-3905501 <br /> Operator:BLAGG FAMILY FARMS #3905501-2020-Version: 1 <br /> 12630 ATKINSON RD. County District ME <br /> Lodi, CA 95240 Issued on:2/32020 <br /> Valid as of:202020 <br /> Agent:TYLER BLAGG Expires on:121312020 <br /> Primary Phone: <br /> Alternate Phone: <br /> Mobile Phone: <br /> Fax <br /> Certified Applicator: BLAGG,TYLER S <br /> 12630 ATKINSON RD License 4:3911146 <br /> LODI, CA 95240 Expiration:12/312021 <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 /> Permit Conditions:Appendix C.Appendix H, OL, P See condition detail for <br /> code descriptions. <br /> Regulatory Notes: <br /> ---------------------------------_--_------_-__---'____-----------------------_--_ <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 peril 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-ENF-125 Rev 11/06 Pesticide Enforcement Branch <br />