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07-02-1998 05:07PM FROM MSE Environmental, Inc. TO 912094683070 P.05 <br />FACILITY NAME Park and Ride Parking Lot 1D NUMBER CAHI 1100068 <br />TEMPORARY HOUSEHOLD HAZARDOUS WASTE <br />COLLECTION FACILITY <br />PERMIT BY RULE NOTIFICATION <br />F. CONTRACTOR INFORMATION (if applicable) <br />NAME MSE Environmental Inc_ <br />MAILING ADDRESS 880 West Verdulera Street <br />C1TY <br />Camarillo CA ZIP CODE 93010 - <br />G. CONTRACTOR CONTACT PERSON INFORMATION (if applicable) <br />CONTACT PERSON Oldetrteyer _ Janice <br />(LAST NAME) (FIRST NAME) <br />PHONE NUMBER 805 987-0217 <br />H. ACCEPTANCE OF COMMERCIAL WASTES <br />YES NO <br />0 ❑ Will your facility accept wastes from small quantity commercial source generators? <br />I. <br />J <br />THE FOLLOWING LOCAL AUTHORITIES HAVE BEEN NOTIFIED OF THE <br />INTENDED OPERATION OF THE THHWCF: <br />Environmental Management <br />Fire Department <br />Law Enforcement <br />Traffic <br />Air Quality <br />THE FOLLOWING LOCAL PERMITS HAVE BEEN OBTAINED FOR OPERATION <br />OF THE THHWCF: <br />No local rmits r uired. <br />DTSC 8464 (9192) Page 2 of 4 <br />FS/ADMNFORMSIPB FORM <br />