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07.29!96 MON 15:37 FAX 707 747 7705 PHILIP ENVIROMENTAL Z004 <br />Y' <br />State of California - Eaviruamcutal Protcction Agency <br />Department of Toxic Substances Cnntrpi <br />FACILTY NAME Payless Foodmart Parking Lot ID NUMBER CAH111000595 <br />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 <br />THE OPERATOR? <br />YES NO <br />❑ DS if not, a written agreement between the operator and the property owner is required. <br />Property owner's name Kenneth Young and Sons <br />Phone number (209) 757-5628 <br />II. ATTACHMENTS <br />❑ A. The financial assurance certifications required by title 22. CCR, Sections <br />(7450.16. <br />III. DAYS AND HOURS OF OPERATION <br />Show hours using a 24-hour clock. gxampL. Ipm should be shown as 1300 <br />PLANNED DATES HOURS ALTERNATE DATES HOURS <br />Nlonth,'Day.'Year Open Close Month/Day/Year Open Close <br />08,24/96 08:30 12:30 <br />DTSC 8464 (9/92) Page 3 of 4 <br />