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TEMPORARY HOUSEHOLD HAZARDOUS WASTE R"CEIVIED <br /> COLLECTION FACILITY <br /> PERMIT BY RULE NOTIFICATION DEC 29 CQ <br /> 14 <br /> 1` <br /> K. IS THE PROPERTY ON WHICH THE THHWCF WILL BE HELD OWNED BY THE O %nr.Fq <br /> YES NO <br /> If not,a written agreement between the operator and the property owner is required. <br /> PROPERTY OWNER'S NAME City of Escalon <br /> CONTACT PERSON Treio Diana <br /> (LAST NAME) (FIRST NAME) <br /> PHONE NUMBER 209.691.7423 <br /> II. DAYS AND HOURS OF OPERATION <br /> Show hours using a 24-hour clock.Example: Ipm should be shown as 1300. <br /> PLANNED DATES HOURS ALTERNATIVE DATES HOURS <br /> Month/Day/Year Open Close Month/Day/Year Open Close <br /> Example: <br /> 07 / 31 /92 8:30 16:00 08 / 03 / 92 08:30 16:00 <br /> 02 / 20 / 15 13:00 19:00 <br /> - 02/ 21 / 15 6:00 20:00 <br /> DTSC 8464(revised 10/07) PAGE 3 OF 4 <br />