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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 /> M✓ INITIAL NOTIFICATION ❑ REVISED NOTIFICATION Put an asterisk in the left margin next to the revised <br /> information <br /> L GENERAL INFORMATION <br /> A. FACILITY ID NUMBER CAH 111001538 <br /> B. FACILITY NAME City of Manteca <br /> Public Works - Solid Waste Division <br /> Co FACILITY ADDRESS OR LEGAL DESCRIPTION OF FACILITY LOCATION <br /> ADDRESS 210 E . Wetmore Avenue <br /> CITY Manteca STATE CA ZIP 95337 <br /> COUNTY San Joaquin <br /> D. OPERATOR (PUBLIC AGENCY) <br /> AGENCY NAME San Joaquin County <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 /> CONTACT PERSON Chin Rajony <br /> (LAST NAME) (FIRST NAME) <br /> PHONE NUMBER (209 ) 468-3066 <br /> DTSC 8464 (revised 10/07) PAGE 1 OF 4 <br />