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' <br /> .' <br /> � SAN JOAQU%N LOCAL HEALTH DISTRICT <br /> ` 1601 East Hazelton Avenue, P.O. Box 2009 <br /> Stockton, California 95201 <br /> APPLICATION FOR <br /> DISPOSAL SITE EXEMPTION <br /> and <br /> FEEDING OF FOOD PROCESSING AND PACKING WASTE <br /> NAME OF PROPEBTY OWNER Bank Van Exe <br /> ADDRESS 19919 Van Exel, Lodi, CA 95242 PHONE <br /> NAME OF OPERATOR Hank Van Exel <br /> ADDRESS 19919 Van Exel, Lodi, CA 95242 PHONE <br /> NAME OF HAULER VPL Transport, Inc. <br /> ADDRESS 11199 N. R»m/ 99 Lodi, C& 95240 PHONE 931-2682 <br /> A. Provide the following information on a scaled drawing not ` <br /> less than 1"^ = 600' (Parcel Maps that meet this requirement <br /> are available at the San Joaquin County Assessor' s Office) : <br /> 1 . Identify the disposal site location , storage and/or <br /> feeding areas and specify the number of acres. <br /> 2. Identify all dwellings, - structures» wells, ponds, ' <br /> lakes, reservoirs, streams, drainage courses, or other <br /> waterways within 1000' of the proposed disposal site. <br /> B. Provide the following additional information : ' <br /> ' <br /> 1 . Duration of disposal (dates) . <br /> ' 2. Turnover time for feeding of waste. <br /> 3. Type of disposal site security (fences, gates, natural <br /> boundries) ~ <br /> 4. Type of waste to be fed or dumped at the proposed site. <br /> 5. Estimate total quantity in yards or tons per da)/ and <br /> per acre. <br /> 6. Provide work plan for applying waste to land . <br /> 7~ Describe all contingency plans for selecting <br /> alternative sites and provide the location of all <br /> alternative sites should weather conditions warrant <br /> this condition. <br /> B. Vector control procedures for storage of waste. <br /> I agree to provide the above information and receive <br /> authorization from th San Joaquin Local Health <br /> the du s property. <br /> of <br /> Date Date <br /> Application fee of $140.00 due per site, per year. <br /> Application accepted with fee by Date <br /> cf <br />