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TO <br />SAN 10AQUIN <br />COUNTY <br />Greatness grows here. <br />San Joaquin County Environmental Health <br />Department <br />1868 E. Hazelton Avenue <br />Stockton, California 95205 <br />Attn: Melissa Nissim, CUPA Program <br />No. of Copies � Description <br />Department of Public Works <br />Kris <br />10 East Hazelton Avenue <br />Balaji, Director of Public Works <br />Fritz Buchman, Deputy Director/Development <br />Jim Stone, Deputy Director/Operations <br />Najee Zarif, Interim Deputy DirectordEngineering <br />Kristi Rhea, Manager of Strategic Initiatives <br />DATE: February 11, 2021 <br />SUBJECT: HOUSEHOLD HAZARDOUS <br />WASTE COLLECTION EVENT PERMIT BY <br />RULE NOTIFICATION <br />TRANSMITTED HEREWITH: X <br />FES 1 1 2021 <br />1 TEMPORARY HHW COLLECTION FACILITY PERMIT BY RU�vIN�I��L�\�I�O�gLTH <br />(DTSC 8464) pERMITISERVIC <br />1 I 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 from the City of Tracy for an upcoming HHW Event scheduled for <br />Saturday, May 81 2021, at the north parking lot of 333 Civic Center Plaza, Tracy, CA 95376 (Tracy <br />City Hall). CESQG appointments, if requested, will be scheduled for Friday, May 7, 2021, after set-up. <br />As part of the documentation requirements, we must have on file proof of receipt of this PBR <br />notification by our CUPA. To help us fulfill this requirement, please complete fhe lines below to <br />acknowledge receipt of this PBR notification. Please send this signed document back to Rajony Chin, <br />Management Analyst 11 at rchin@sjgov. org or fax to 468-3078. <br />PBR notification received by CUPA on r.c j rknt•t'I <br />e 2021 <br />;sSr►� <br />CUPA Signature Printed Name <br />If you have any questions, please contact me at (209) 468-3066. <br />RAJONY CHIN <br />Management Analyst I I <br />San Joaquin County Public Works Department <br />Solid Waste Division <br />RC:mf <br />Tracy 2021 PBR to CUPA <br />Enclosures <br />18� Stockton, California 95205 � T 209 468 3000 � F 209 468 2999 <br />ad Follow us on Facebook @ PublicWorksSJC Visit our website: www.sjgov.org/pubworks <br />