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State of California—California Environmental Protection Agency Department of Toxic Substances Control <br /> TEMPORARY HOUSEHOLD HAZARDOUS WASTE <br /> COLLECTION FACILITY <br /> PERMIT BY RULE NOTIFICATION <br /> For use by public agencies operating a Temporary Household Hazardous Waste Collection Facility(THHWCF)under Permit By Rule.Each location requires a <br /> separate form. <br /> ❑Q INITIAL NOTIFICATION ❑REVISED NOTIFICATION Put an asterisk in the left margin next to the revised <br /> information <br /> 1. GENERAL INFORMATION <br /> A. FACILITY ID NUMBER CAH111001366 <br /> B. FACILITY NAME Central Valley Waste Services <br /> Lodi Transfer Station <br /> C. FACILITY ADDRESS OR LEGAL DESCRIPTION OF FACILITY LOCATION <br /> ADDRESS 1333 East Turner Road <br /> CITY Lodi STATE CA ZIP 95240 <br /> COUNTY San Joaquin <br /> D. OPERATOR(PUBLIC AGENCY) <br /> AGENCY NAME County of San Joaquin <br /> Department of Public Works <br /> MAILING ADDRESS PO Box 1810, 1810 E. Hazelton Ave. <br /> CITY Stockton STATE CA ZIP 95201 <br /> COUNTY San Joaquin <br /> E. OPERATOR/AGENCY CONTACT PERSON INFORMATION <br /> CONTACTPERSON Chin Rajony <br /> (LAST NAME) (FIRST NAME) <br /> PHONE NUMBER (209)468-3066 <br /> DTSC 8464(revised 10/07) PAGE 1 OF 4 <br />