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FACILITY NAME New Hope School ID NUMBER CAH 111000598 <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 <br />BY THE OPERATOR? <br />YES NO <br />❑X If not, a written agreement between the operator and the property owner is required. <br />PROPERTY OWNER'S NAME Charles Boice, Superintendent, Thornton School District <br />PHONE NUMBER (209) 794-2376 <br />II. ATTACHMENTS <br />A. THE FINANCIAL ASSURANCE CERTIFICATIONS BY TITLE 22, CCR, SECTIONS <br />67450.16. <br />III. DAYS AND HOURS OF OPERATION <br />Show hours using a 24-hour clock. Example: 1 pm should be shown as 1300. <br />PLANNED DATES HOURS <br />Month/Day/Year Open Close <br />10 / 25 / 97 08 30 16 30 <br />DTSC 8464 (9/92) Paye 3 of 4 <br />FS/ADMINFORMS\PBR FORM b <br />