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Application No <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P O Box 2009 <br /> Stockton, CA 95201 PAYMENT <br /> APPLICATION FOR ECEI V E® <br /> DISPOSAL SITE EXEMPTION SEP 12 <br /> and 1988 <br /> FEEDING OF FOOD PROCESSING AND PACKING W 0NNMENT ALTFt <br /> p <br /> lTISER V1 ES <br /> 1F OF PROPERTY OWNER Tri/Valley Gravers, Plant T <br /> ADDRESS 26200 Novell Road, Thornton, CA 95686 <br /> PHONE (209) 794-2303 <br /> NAME OF OPERATOR Tri/valley Growers, Plant T <br /> ADDRESS 26200 Nowell Road, Thornton, CA 95686 PHONE 12091 794-2303 <br /> EAME OF HAULER VPL Transport <br /> DRESS 11199 1 Highway 99, Lodi, CA 95240 PHONE (209) 931-2682 <br /> A. Provide the following information on a scaled drawing not less than 111= <br /> 600' (Parcel Maps that meet this requirement are available at the San <br /> Joaquin County assessor' s Office) : See Attachment 1 <br /> I. Identify the disposal site location, storage and/or feeding areas and <br /> specify the number of acres. <br /> 2. Identify all dwellings, struct'ures, `wel'ls, <br /> streams, drainage courses, or other waterway.5nwithin k1000reofrthe rprop- <br /> osed disposal site. <br /> B. Provide the following additional information: <br /> I. Duration of disposal (dates) . <br /> 2. Turnover time for feeding of waste. <br /> 3. Type of disposal site security ( fences <br /> ural <br /> 4. Type of waste to be fed or dumped at the gproposed tsite. boundries) . <br /> 5. Estimate total quantity in yards or tons <br /> G. Provide work plan for applying Per day and per acre. <br /> pp <br /> 7. Describe all contingency <br /> ying waste to land. <br /> provide the location ofala <br /> lalternativens for csitesting ashouldtweather and <br /> warrant this condition. her conditions <br /> S. Vector control procedures for storage of waste. <br /> I agree to provide the above information and receive authorization from the <br /> Sun Joaquin cal Ijealth District prior to the dumping 1o!'ei•ty. ! g of any waste on this <br /> r �• <br /> Duane Rohrer ^� DvoaF iano <br /> Signature of Property Owner °`' �"' oPP <br /> Signature of.' Open~ <br /> -� z i /V <br /> Date <br /> Application fee of $140.00 due per site, per year. <br /> pplicatiQn accepted with fee by <br /> — - Date <br />