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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 /> 11 Q If not,a written agreement between the operator and the property owner is required. <br /> PROPERTY OWNER'S NAME Central Valley Waste Services/Waste IV12 <br /> CONTACT PERSON Osequera Alex <br /> (LAST NAME) (FIRST NAME) <br /> PHONE NUMBER (209)369-8274 <br /> H. DAYS AND HOURS OF OPERATION <br /> Show hours using a 24-hour clock.Example: Ipm 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 / 01 / 22 13:00 19:00 <br /> - 04 / 02 / 22 06:00 20:00 <br /> DTSC 8464(revised 10/07) PAGE 3 OF 4 <br />