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0 0 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Unit Supervisors <br /> Donna K.Horan,R.E.H.S. <br /> < Direclor 304 East Weber Avenue, Third Floor Carl Borginan,R.E.H.S. <br /> • Al Olsen,R.E.H.S. Stockton, California 95202-2708 Mike Huggins,R.E.H.S., R.D.I. <br /> Progran(kqer Douglas W.Wilson,R.E.H.S. <br /> Laurie A.Cootulla,R.E.".S. Telephone: (209) 468-13420 Margaret Lagorio,R.E.H.S. <br /> Program Alanager Fax: (209) 464-0138 Robert McClellon,R.E.H.S. <br /> Mark Barcellos, R.E.H.S. <br /> APPLICATION FOR DISPOSAL SITE EXEMPTION <br /> & FEEDING OF FOOD PROCESSING <br /> & PACKING WASTE <br /> -Z <br /> Name of Property Owner: !-empire—Creak nai-ry, inc. <br /> Address: 26250 Carter Road, Escalon, CA 95366 <br /> Rob Veneman <br /> Name of Operator: 7U, <br /> Address: Same <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 Joaquin County Assessor's <br /> Office. <br /> ® Identify the disposal site location, storage and /or feeding areas and specify the number of areas. <br /> 0 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 /> ae 0 Duration of disposal (dates) <br /> 0 Turnover time of feeding of waste <br /> 0 Type of disposal site security (fences/gates/natural boundaries). <br /> 0 Estimate total quantity in yards or tons per day per acre. <br /> 0 Provide work plan for applying waste to land. <br /> 0 Describe contingency plans for selecting alternative sites and provide the location of all possible <br /> alternative sites that could be used in case of inclimate weather., <br /> 0 Describe vector control procedures for storage of waste. <br /> I agree to provi the above information and receive authorization from San Joaquin County Public <br /> Health Servi Environmental Health Division prior to placing any waste on th7isroperty. <br /> 2fignal u,e of Ooperty owner Date <br /> AIA4 <br /> Signa urj4bl5&rator Date <br /> Application accepted with fee by <br /> Date <br />