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Pad , .curt <br /> Department of Public Works <br /> ° -1 SAN JOAQUIN <br /> N AL COUNTY t Kris Balaji,Director of Public Works <br /> Fritz Buchman,Deputy DirectorlDevelopment <br /> Greatness grows here. Working for YOU David Tolliver,Deputy Director/Operations <br /> Najee Zarif, Deputy DirectorlEngineering <br /> Kristi Rhea,Business Administrator <br /> TO: San Joaquin County Environmental Health DATE: February 16, 2022 <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 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 (PBR) <br /> Notification and letter for an upcoming HHW Event scheduled for Saturday, April 2, 2022, at the Central <br /> Valley Waste Services, Lodi Transfer Station. Any CESQG appointments, if requested, will be scheduled <br /> for Friday, April 1, after set-up. <br /> As part of the documentation requirements, we must have on file proof of receipt of this PBR notification by <br /> our COPA. To help us fulfill this requirement, please complete the lines below to acknowledge receipt of this <br /> PBR notification. Please send this signed document back to Rajony Chin, rchin@sjgov.org or fax to (209) <br /> 468-3078. <br /> PBR notification received by CUPA on r e b r U u rel �b , 2022 <br /> 3's C4 /�iS3 .rr� <br /> CUPA Signature Printed Name <br /> If you have any questions, please contact me at(209) 468-3066. <br /> RECEIVED <br /> RAJOP CHIN <br /> Environmental Operations Division FEB 16 2022 <br /> San Joaquin Co. Public Works Dept., Solid Waste Div. <br /> RC:cg ENVIRONMENTAL HEALTH <br /> Lodi 2022 PBR to COPA PERMIT/SERVICES <br /> Enclosures <br /> 1810 East Hazelton Avenue I Stockton, California 95205 1 T 209 468 3000 1 F 209 468 2999 <br /> in Follow us on Facebook @ PublicWorksSJC Visit our website: www.sjgov.org/pubworks <br />