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R <br /> ENVIRONMENTAL HEALTHDEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Unit Supervisorse. Donna K.Reran,R.E.H.S. Carl Borman.R.E.H.S. <br /> Director 304 East Weber venue, Third Floor <br /> %like Huggins,R.E.H.S..R.D.I. <br /> At Olsen,R.E.H.S. Stockton. California 95202-2708 Douglas V.Wilson.R.E.H.S. <br /> c4•. a�P Program Xfanager Telephone: (209)468-3420 Marearet Lagorio.R.E.H.S. <br /> <<FOR Laurie A.Co Ilia,R.E.H.S. - R.E.H.S. <br /> Fax: 0091 -164-0138 Robert�tcClzllon.R.E.H._c <br /> Pro F <br /> I anagen Mark Barcellos.R.E.H.S. <br /> O <br /> a PPLICATION FOR DISPOSAL SITE EXEMPTION <br /> & FEEDING OF FOOD PROCESSING <br /> PACKING WASTE <br /> Name of Property Owner: \�i <br /> Address: CJ �, `�C�� �L 1�1'ati\11� t\ S�-� Ca C)S2�✓ <br /> Name of Operator: Ste,� \hC l <br /> Address ���� ► ►J C�� �Q �'� � C A �i� i <br /> Name of Operator: <br /> Address: <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 Joaqquin 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 of disposal (dates) <br /> • Turnover time of feeding of waste <br /> • Type of disposal site security(fences/gates/natural boundaries). <br /> • Estimate total quantity in yards or tons per day per acre. <br /> • Provide work plan for applying waste to land. <br /> • Describe contingency plans for selecting alternative sites and provide the location of all possible <br /> alternative sites that could be used in case of Indimate weather. <br /> • Describe vector control procedures for stoirage of <br /> I agree to provide the above information and receive authorization from San 3caquin County Public <br /> Health Services, Envi nmental Health Division prior to placing any waste on this property. <br /> s <br /> ;2 --/0 <br /> Date <br /> AW96ire of 6pegor Date <br /> Application accepted with fee by <br /> Date <br />