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TEMPORARY HOUSEHOLD HAZARDOUS WASTE <br /> COLLECTION FACILITY <br /> PERMIT BY RULE NOTIFICATION <br /> K. IS THE PROPERTY ON WHICH THE THHWCF WILL BE HELD OWNED BY THE OPERATOR <br /> YES NO <br /> M Q✓ If not, a written agreement betwoen the operator and the property owner is required . <br /> PROPERTY OWNER' S NAME Central Valley Waste Services/Waste Nb <br /> CONTACT PERSON Osequera Alex <br /> (LAST NAME) (FIRST NAME) <br /> PHONE NUMBER (209) 369-8274 <br /> II. DAYS AND HOURS OF OPERATION <br /> Show hours using a 24-hour clock . Example: 1pn 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 /> 04 / 02 / 21 13 : 00 19 : 00 <br /> 04 / 03 / 21 06 : 00 20 : 00 <br /> i <br /> E <br /> DTSC 8464 (revised 10/07) PAGE 3 OF 4 <br />