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au�H SAN JOAQUIN COUNTY AGRICULTURAL COMMISSIONERS OFFICE -0`<' <br /> 2101 E EARHART AVE, SUITE 100 <br /> STOCKTON, CA 95206 <br /> '. Office: (209)953-6000 Fax: (209)953-6022 <br /> Email: stocktonag2@sjgov.org Web: www.co.san-joaquin.ca.uslagcomm <br /> RESTRICTED MATERIALS PERMIT: 39-20-3904039 <br /> Operator:JORDAN, CLAY #3904039-2020-Version: 1 <br /> 5066 E JAHANT RD County District#:F <br /> GALT, CA 95632 Issued on:1/10/2020 <br /> Valid as of:1/1/2020 <br /> Agent:JORDAN,CLAY Expires on:12/31/2022 <br /> Primary Phone. <br /> Alternate Phone: <br /> Mobile Phone: <br /> Fax: <br /> Type of Use:Agricultural Use <br /> Notices Of Intent required 24 hours prior <br /> Pesticide Possession:possession and Use to application of pesticide containing <br /> Permit Duration:Multi-Year restricted materials <br /> Employees Handle Pesticides <br /> Permit Conditions:GWP-1-1, GWP-L2,GWP-1-3,Appendix C,Appendix H, 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 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-ENF-125(Rev 11/06)Pesticide Enforcement Branch] <br /> Applica <br /> Applicant Signatur <br /> Issuing Offi <br /> Page 1 <br />