Laserfiche WebLink
07/16/1998 15:54 8059879718 MSE EWIPONMEHTAL PAGE 07 <br />FACILITY NAME Payless Food Mart Parking Lot ID NUMBER CAH 111000595 <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 (if applicable) <br />CONTACT PERSON OldemeyerJanice K. <br />(LAST NAME) T Y (FIRST NAME) <br />PHONE NUMBER (805) 987-0217 <br />H. ACCEPTANCE OF COMMERCIAL WASTES <br />YES NO <br />M❑X 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 permits required. <br />DTSC 8464 (9/92) Page 2 of 4 <br />FS/ADMINFORMSTBR FORM <br />