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07/10/1998 15:54 8059878718 MSE ENVIRONMENTAL PAGE 03 <br />J _ <br />FACILITY NAME Salas Park Parking Lot ID NUMBER CAH111000318 <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 />CITY Camarillo CA ZIP CODE 93010 - <br />G. CONTRACTOR CONTACT PERSON INFORMATION (it applicable) <br />CONTACT PERSON Oldemeyer _ Janice K. <br />(LAST NAME) (FIRST NAME) <br />PHONE NUMBER(805) 987-0217 <br />H. ACCEPTANCE OF COMMERCIAL WASTES <br />YES NO <br />❑X p Will your facility accept wastes from small quantity commercial source generators? <br />I. THE FOLLOWING LOCAL AUTHORITIES HAVE BEEN NOTIFIED OF THE <br />INTENDED OPERATION OF THE THHWCF: <br />MR Environmental Management <br />pR Fire Department <br />DX Law Enforcement <br />QTraffic <br />X❑ Air Quality <br />D <br />J. THE FOLLOWING LOCAL PERMITS HAVE BEEN OBTAINED FOR OPERATION <br />OF THE THHWCF: <br />No locals permits required. <br />DTSC 8464 (9/92) Page 2 of 4 <br />FS/ADWNFORMSTBR POR <br />