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APPLICATION FOR DISPOSAL SITE EXEMPTION <br /> & FEEDING OF FOOD PROCESSING <br /> & PACKING WASTE <br /> Name of Property Owner: i('C 6ei <br /> Address: 2 2�- S P070 OTc D 1 ` C 5 <br /> Name of Operator: <br /> Address: <br /> Name of Operator: <br /> Address: <br /> Provide the following information on a scaled drawing not less than one inch equals six hundred feet(1"=6o0'), <br /> Parcel maps that meet this requirement are available at the San Joaqquin County Assessor's 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 alternative <br /> sites that could be used in case of inclimate weather. <br /> • Describe vector control procedures for storage of waste. <br /> I agree to provide the above information and receive authorization from San Joaquin County Public Health <br /> Services, Environm ntal Health Division prior to placing any waste on this property. <br /> Signature of Property Owner Date <br /> Signature of Operator Date <br /> Application accepted with fee by <br /> Date <br />