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Department of Public Works <br /> lee SAN 10AQUIN ° <br /> Kris Balaji , Director of Public Works <br /> � � ' COUNTY a l <br /> ` Fritz Buchman , Deputy DirectorlDevelopment <br /> Greatness grows here . �.-j-, <br /> W&I&S i= YOU David Tolliver, Deputy DirectodOperations <br /> Najee Zarif, Deputy DirectordEngineering <br /> Kristi Rhea , Business Administrator <br /> TO : San Joaquin County Environmental Health DATE : August 4 , 2021 <br /> Department <br /> 1868 E . Hazelton Avenue <br /> Stockton , California 95205 SUBJECT : HOUSEHOLD HAZARDOUS <br /> WASTE COLLECTION EVENT PERMIT BY <br /> RULE NOTIFICATION <br /> Attn : Melissa Nissim , CUPA Program <br /> TRANSMITTED HEREWITH : X <br /> UNDER SEPARATE COVER : <br /> No . of Copies Description <br /> 1 TEMPORARY HHW COLLECTION FACILITY PERMIT BY RULE NOTIFICATION <br /> ( DTSC 8464) <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 from the City of Manteca for an upcoming HHW Event scheduled for <br /> Saturday , October 9 , 2021 , at 210 E . Wetmore Avenue , Manteca , CA 95337 . <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, Management Analyst 1l <br /> at rchin@sjgov. org or fax to 468-3078. ' 1 <br /> PBR notification received by CUPA on AL , 9 k46 ~ , 2021 <br /> _ T <br /> CUPA Signature Printed Name <br /> If you have any questions , please contact me at (209) 468- 3066 . <br /> L!!2 <br /> RAJONY CHIN � C E ' V E ® <br /> Management Analyst II <br /> San Joaquin County Public Works Department AUG 0 4 2021 <br /> Solid Waste Division <br /> iNVIRONMENTAL HEALTH <br /> RC : mf PERMIT/ SERVICES <br /> Manteca 2021 PBR to CUPA <br /> Enclosures <br /> 1810 East Hazelton Avenue Stockton , California 95205 T 209 468 3000 1 F 209 468 2999 <br /> 91 Follow us on Facebook @ PublicWorksSJC Visit our website : www . sjgov . org/pubworks <br />