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1707� P$YLIP I'T`t`YMTU.7TAL <br />State of California - Envlronmentai a roteetion Agency Department of Toxic Substancc9 Control <br />FACILTY NAME Escalon Community Center ID NUMBER CAH111000284 <br />TEMPORARY HOUSEHOLD HAZARDOUS WASTE <br />COLLECTION FACILITY <br />PERMIT BY RULE NOTIFICATION <br />F. CONTRACTOR INFORMATION (if applicable) <br />Name Burlington Environmental dba Philip Environmental <br />Mailing Address 301A W. Channel Rd. <br />City Benicia CA Zip Code 94510 <br />G. CONTRACTOR CONTACT PERSON (if applicable) <br />Contact Barkwill, Wes <br />Phone Number (707)747-7700 <br />H. ACCEPTANCE OF COMMERCIAL WASTES <br />YES NO <br />❑ ❑D Will your facility accept waste from small quantity commercial source <br />generators? <br />I THE FOLLOWING LOCAL AUTHORITIES HAVE BEEN NOTIFIED OF THE <br />INTENDED OPERATION OF THE THHWCF: <br />Environmental Management <br />0 Fire Department <br />D Law Enforcement <br />Traffic <br />[] Air Quality <br />J. THE FOLLOWING LOCAL PERMITS HAVE BEEN OBTAINED FOR <br />OPERATION OF THE THHWCF: <br />DTSC 8464 (9/92) <br />Page Z of 4 <br />1 007 <br />