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PIN • • <br /> THOMAS M.GAU P.O.BOX 1810-1810 E.HAZELTON AVENUE <br /> INTERIM DIRECTOR STOCKTON,CALIFORNIA 95201 <br /> •°; P (209)468-3000 FAX(209)468-2999 <br /> Liam <br /> www.sjgov.org/pubworks <br /> MICHAEL SELLING <br /> DEPUTY DIRECTOR W®p,11_ YOU <br /> Working fair <br /> STEVEN WINKLER S�Wll i V <br /> DEPUTY DIRECTOR <br /> ROGER JANES <br /> BUSINESS ADMINISTRATOR <br /> TO: San Joaquin County Environmental DATE: June 9, 2011 <br /> Health Department <br /> 600 E. Main Street SUBJECT: Household Hazardous Waste <br /> Stockton, CA 95202 Collection Event Permit By Rule Notification <br /> Attn: Kasey Foley, CUPA Program TRANSMITTED HEREWITH: X <br /> UNDER SEPARATE COVER: <br /> No. of Copies Description <br /> 1 Temporary HHW Collection Facility Permit By Rule Notification (DTSC 8464) <br /> 1 Letter of agreement from property owner <br /> Remarks: <br /> Enclosed please find the Temporary Household Hazardous Waste Collection Facility Permit By <br /> Rule Notification for an upcoming HHW Event, scheduled for Saturday, August 6, 2011 at the <br /> Tracy Municipal Airport. CESQG appointments will be scheduled Friday, August 5, after set-up. <br /> As part of the documentation requirements, we must have on file proof of receipt of this PBR <br /> notification by our CUPA. To help us fulfill this requirement, please complete the lines below to <br /> acknowledge receipt of this PBR notification. Please send this signed document back to Kimbra <br /> Andrews at kandrews@sjgov.org or fax to 468-3078. <br /> PBR notification received by CUPA on, t ylne. d , 2011 <br /> 44A A 1A I r�zse,� L. ate t <br /> CUPA Si Inatur Printed Nanle <br /> If you have any questions, please contact me at 468-3066. <br /> Thank you, <br /> IMBRA ANDREWS <br /> Management Analyst, Hazardous Waste Program <br /> San Joaquin Co. Public Works Dept., Solid Waste Div. <br />