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QA„44!►.!y...e <br /> �.• •.oma <br /> .R P.O.BOX 1810-1810 E.HAZELTON AVENUE <br /> STOCKTON,CALIFORNIA 95201 <br /> •'t i. `_ (209)468-3000 FAX(209)468-2999 <br /> www o r 6/pbworks <br /> EIVED <br /> MICHAEL SELLING Wofldng for YOU DEC 2014 <br /> DEPUTY DIRECTOR <br /> FRITZ BUCHMAN <br /> DEPUTY DIRECTOR ENVIRONMENTAL HF-4LTH <br /> JIM STONE PERMIFUsERVICES <br /> DEPUTY DIRECTOR <br /> ROGER JAMES <br /> BUSINESS ADMINISTRATOR <br /> TO: San Joaquin County Environmental Health DATE: December 29, 2014 <br /> Department <br /> 1868 E. Hazelton Avenue SUBJECT: HOUSEHOLD HAZARDOUS <br /> Stockton, California 95202 WASTE COLLECTION EVENT PERMIT BY <br /> RULE NOTIFICATION <br /> Attn: Kasey Foley, COPA Program <br /> 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: Enclosed is the Temporary Household Hazardous Waste Collection Facility Permit By Rule <br /> Notification and letter for an upcoming HHW Event scheduled for Saturday, February 21, 2015, at the <br /> Escalon Community Center. Any CESQG appointments, if requested, will be scheduled for Friday, <br /> February 20th after set-up. <br /> As part of the documentation requirements, we must have on file proof of receipt of this PBR notification <br /> by our COPA. To help us fulfill this requirement, please complete the lines below to acknowledge receipt <br /> of this PBR notification. Please send this signed document back to Elisa Moberly emoberly@sjgov.org or <br /> fax to 468-3078. <br /> PBR notification received by COPA on, <br /> CUPA Signature Printed Name <br /> If you have any questions, please contact me at(209)468-3066. <br /> ELI A MOBERLY <br /> Environmental Operations Divisid <br /> San Joaquin Co. Public Works Dept., Solid Waste Div. <br /> EM:sc <br /> P:\HHW\HHW Facilities\Satellite events\Satellite-Escalon\2015 Escalon HHW Event\Working File\Escalon 2015 CUPA PBR <br /> Transmittal.docx <br /> c: Elena Manzo, COPA Program <br /> Enclosures <br /> HA 30010C <br />