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� <br /> �� ��U� ��r� <br /> J�� � ����y��� � '�� HEALTH ������� ���l� � <br /> ^� ��T ��� �� ���T��� �����T�T7��� <br /> ��z���� vm������m���� COUNTY Unit Supervisors <br /> D }{ g <br /> ������ --- �04 }�aSt�����z��v�DU�, 7.��n� ��O0r CudBorgmun.R.6.R.8. <br /> �� �� - Mike Huggins,��RS D'Dl <br /> Al 5tnc�too, CuJd�roiu 952O2-27O0 ' � � � ` � � <br /> Olsen, Douglas\v.Wilso" K.E.H.O. <br /> T� ' (20@)��� ]4�0 � <br /> ~-Laurie A. .E.H ocy/,o'/c. `-_' - K�u��,�Lu�odo R.ER�S� <br /> S. <br /> F�� (20A) 464-� �� &ohn�McC�Uoo.8LB.8.S. <br /> 7-1\11 , <br /> Mark 8ume|los,R'EB.3. <br /> 4�LICATION FOR DISPOSAL SITE EXEMPTION <br /> & FEEDING OF FOOD PROCESSING <br /> �� ��������� � <br /> ~= PACKING ��"�^°� ~~ <br /> Name ofProperty Owner VZ. <br /> Address: <br /> Name ofOperator: <br /> Address: <br /> Name ofOperator: <br /> pmonsys: <br /> ' <br /> Provide the following information on a scaled drawing not less than one inch equals six hundred feet <br /> (1"=600'). Parcel maps.'that meet this requirement are available at the San ]oaqquin County Assessor's <br /> Office. <br /> ° Identify the disposal site location, storage and/or feeding areas and specify the number of areas. <br /> * Identify all dwellings, structures, wells, ponds, lakes, reservoirs, streams, drainage courses, or other <br /> waterways within one thousand (1000')feet of the proposed disposal site. <br /> Provide the following additional information: <br /> ° Duration ofdisposal /datesl <br /> ° Turnover time of feeding of waste <br /> ° Type o[disposal site security (hences/gates/natuna| boundaries). <br /> ° Estimate total quantity in yards or tons per day per acre. <br /> ° Provide work plan for applying waste to land. , <br /> ° <br /> Describe contingency plans for selecting alternative sites and provide the location of all possible <br /> ` <br /> alternative sites that could be used in -case ofindinnate weather. <br /> w <br /> Describe vector control procedures for storage ofwaste. <br /> I agree to provide the above information and receive authorization from San Joaquin County Public <br /> Health Se |ces En | tall HealthnOi |s|onpriortmp|acinganywastemnthispnopertv. <br /> fur of Date <br /> Application accepted with fee bv <br /> Date <br />