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Department of Public Works <br /> �+ SAN JOAQUIN <br /> COUNTY � } Kris Balaji , Director of Public Works <br /> Fritz Buchman , Deputy Director/Development <br /> � 0 Greatness grows here . <br /> warymig ftw YOU Jim Stone, Deputy Director/Operations <br /> Najee Zarif, Interim Deputy Director/Engineering <br /> Kristi Rhea , Manager of Strategic Initiatives <br /> TO : San Joaquin County Environmental Health DATE : February 11 , 2021 <br /> Department <br /> 1868 E . Hazelton Avenue SUBJECT : HOUSEHOLD HAZARDOUS <br /> Stockton , California 95205 WASTE COLLECTION EVENT PERMIT BY <br /> RULE NOTIFICATION <br /> Attn : Melissa Nissim , CUPA Program TRANSMITTED HEREWITH : X <br /> UNDER SEPARATEI EIVED <br /> No . of Copies Description FEB 11 2021 <br /> 1 TEMPORARY HHW COLLECTION FACILITY PERMIT BY %41 11FNO VRl8 `VIC H <br /> ( DTSC 8464) PERMI - j1SE0 <br /> 1 LETTER OF AGREEMENT FROM PROPERTY OWNER <br /> Remarks : Enclosed is the Temporary Household Hazardous Waste Collection Facility Permit by Rule <br /> ( PBR) Notification and letter for an upcoming HHW Event scheduled for Saturday, April 3 , 2021 , at the <br /> Central Valley Waste Services , Lodi Transfer Station . Any CESQG appointments , if requested , will be <br /> scheduled for Friday , April 2 , 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 Rajony Chin, rchin@sjgov. org or fax <br /> to 468-3078. <br /> PBR notification received by CUPA on re h r U ci rV , 2021 <br /> CUPA Signature Printed Name <br /> If you have any questions , please contact me at (209) 468-3066 . <br /> 1121 <br /> RAJON SHIN <br /> Enviro ental Operations Division <br /> San Joaquin Co . Public Works Dept . , Solid Waste Div . <br /> RC : mf <br /> Lodi 2021 PBR to CUPA <br /> Enclosures <br /> 1810 East Hazelton Avenue Stockton , California 95205 T 209 468 3000 1 F 209 468 2999 <br /> F1 Follow us on Facebook @ PublicWorksSJC Visit our website : www . sjgov . org/pubworks <br />