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State of California - Environmental Protection Agc Department of Toxic Substance Control <br />FOR OFFICIAL USE ONLY <br />DTSC REGIONAL OFFICE \, <br />TEMPORARY HOUSEHOLD HAZARDOUS WASTE <br />COLLECTION FACILITY <br />PERMIT BY RULE NOTIFICATION <br />For use by agencies operating a Temporary Household Hazardous Waste Collection Facility (THHWCF) under Permit By Rule. Each <br />location requires a separate form. <br />❑X INITIAL NOTIFICATION ❑ REVISED NOTIFICATION Put an <br />asterisk in the left margin next to the <br />revised information. <br />I. GENERAL INFORMATION <br />A. FACILITY ID NUMBER <br />B. FACILITY NAME <br />CAH 111000527 <br />Lovelace Materials Recovery Facility <br />C . FACILITY ADDRESS OR LEGAL DESCRIPTION OF FACILITY <br />LOCATION <br />ADDRESS 2323 East Lovelace Road <br />CITY <br />Manteca <br />COUNTY San J <br />D . OPERATOR (PUBLIC AGENCY) <br />CA ZIP CODE 95336 - <br />AGENCY NAME County of San Joaquin Department of Public Works <br />MAILING ADDRESS P.O. Box_48tOTast Hazelton <br />5 <br />CITY Stockton CA ZIP CODE 95204-," - <br />COUNTY San Joaquin <br />E . OPERATOR/AGENCY CONTACT PERSON INFORMATION <br />CONTACT PERSON <br />PHONE NUMBER <br />Hudson <br />(LAST NAME) <br />(209)468-3066 <br />Alison <br />(FIRST NAME) <br />DTSC 8464 (9/92) Page 1 of 4 <br />FS/ADMINFORMS\PBR FORM <br />