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-TUI - 28 -92 TUE :D : !50 RAt- F' H HAYES S. SON P 02 <br /> UNIFIED SRFETY/MEDINA , TE*o .213-659-5504 JU45 ,92 13 :47 No .001 P .03 <br /> ,4 LIM <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICEfl' <br /> &N-VTRONN, MN-rAL HEALTH DIVISION 1:( 11 <br /> 445 N. SAN JOAQUIN STREET. P.O. BOX 2009 SEP 0 2 1992 <br /> STOCKTON, CA 93201 ENVIR NMENTAL HEALTH <br /> (209) 4683420 <br /> -MPT DISPOSAL AREA PMWr <br /> APPLICATION FOR ANNUAL E)CL <br /> FOR APPLICATION OF WASTE ASH OR SLUDGS TO LAND <br /> SM ADDRESS: Victoria I.sl and Farms —�� PARCEL NO. .199-190-99 pg. 90 <br /> ,4AME OF PROPERTY OWNER; William R. Zech <br /> ADDRESS: I Lzbway Sb'` PHONE: 205 29-56M <br /> NANM OF OPERATOR: R Haves. <br /> ADDRESS: 20172-S. lisr-ArtIm= M-A", (953 PHONE: 202-835=4914— <br /> NAME OF RAM-EA! (&xldv 14aves) RU1 h Haves & Son -Inc <br /> ADDRESS: 201.177 S�. MarkthM_Dri-ye 2.Yac 3 H E <br /> (91-ZkL— P ON ; 2Q2_83"914 <br /> A, Provide the following irtformadon on a scaled drawing not 1= than i"=600' (Parcel <br /> Maps that meet this requirement are available at the San Joaquin County Assessor's <br /> Office): <br /> 1. Identify the soil amendment/stabilization area and specify the number of acres for <br /> application and the tow/ s Lze of the prvpcM. <br /> 2. Idendfy aU dWeUjMg%, Struqrum3, wells, ponds, hdm. rewvoLn, stx=s, <br /> ( hin 1000 feet of the proposed application <br /> drainagc courses, or other waterways wit <br /> site. <br /> Provide the following addidorW information: <br /> 1. Duration of disposal (data). <br /> 2. Site operation hours and days. <br /> 3. Type of disposal site security (fences, gates, natural boundaxic3). <br /> 4. TM of waste ash or sludge to be applied at the pwposW site. <br /> 5. Estimate total quantity of ash or sludge applied in tons per day and per acre. <br /> 6. A work plan for applyiog ash or sludge to land. <br /> 7. Depth to ground water and soil types on site. <br /> I ague to provide the above informatiod and receive authorization from San Joaquin County <br /> Public ReAlth Serviciz prior to the spreading of any waste on this ptope5y. <br /> A <br /> Sigmcura of Propertk5wder Signa me of—dWMM7 <br /> Date-• Date: <br /> Permit/" bort fee of$140.00 due per site, per year. <br /> Appli=tioit TW with fee by Date_ <br />