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FACILITY NAME North C. Recycling Center J NUMBER CAH 111000526 <br /> TEMPORARY HOUSEHOLD HAZARDOUS WASTE <br /> COLLECTION FACILITY <br /> PERMIT BY RULE NOTIFICATION <br /> F. CONTRACTOR INFORMATION(if applicable) <br /> NAME MSE Environmental <br /> MAILING ADDRESS 880 West Verdulera Street <br /> CITY Camarillo CA ZIP CODE 93010 - <br /> G. CONTRACTOR CONTACT PERSON INFORMATION(if applicable) <br /> CONTACT PERSON Simpson Sharon <br /> (LAST NAME) (FIRST NAME) <br /> PHONE NUMBER (707)747-5589 <br /> H. ACCEPTANCE OF COMMERCIAL WASTES <br /> YES NO <br /> ❑X Will your facility accept wastes from small quantity commercial source generators? <br /> I. THE FOLLOWING LOCAL AUTHORITIES HAVE BEEN NOTIFIED OF THE <br /> INTENDED OPERATION OF THE THHWCF: <br /> �X Environmental Management <br /> Fire Department <br /> �X Law Enforcement <br /> IX Traffic <br /> 7X Air Quality <br /> J. THE FOLLOWING LOCAL PERMITS HAVE BEEN OBTAINED FOR OPERATION <br /> OF THE THHWCF: <br /> No local permits required <br /> DTSC 8464(10/97) Page ❑ of 4 <br /> F&ADMINFORMSTBR FORM <br />