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1 <br /> TEMP Y HOUSEHOLD HAZARDOURVASTE <br /> COLLECTION FACILITY <br /> PERMIT BY RULE NOTIFICATION <br /> F. CONTRACTOR INFORMATION(if applicable) <br /> NAME PSC Environmental Services, LLC <br /> MAILING ADDRESS 395 West Channel Road <br /> CITY Benicia STATE CA ZIP 94510-1117 <br /> G. CONTRACTOR CONTACT PERSON INFORMATION(if applicable) <br /> CONTACT PERSON Rappaport Mark <br /> (LAST NAME) (FIRST NAME) <br /> PHONE NUMBER (916)343-0399 <br /> H. ACCEPTANCE OF CESQG WASTES <br /> YES NO <br /> Q✓ ❑ Will your facility accept wastes from conditionally exempt small quantity generators? <br /> I. THE FOLLOWING LOCAL AUTHORITIES HAVE BEEN NOTIFIED OF THE INTENDED <br /> OPERATION OF THE THHWCF: <br /> ❑✓ Environmental Management <br /> ❑✓ Fire Department <br /> ❑✓ Law Enforcement <br /> ❑✓ Traffic <br /> ❑✓ Air Quality <br /> J. THE FOLLOWING LOCAL PERMITS HAVE BEEN OBTAINED FOR OPERATION OF THE <br /> THHWCF: <br /> No local permits required. <br /> DTSC 8464(revised 10/07) PAGE 2 OF 4 <br />