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r <br />FACILITY NAME Salas Park Parking Lot ID NUMBER CAH 111000318 <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 />® If not, a written agreement between the operator and the property owner is required. <br />H. Dixon Flynn <br />PROPERTY OWNER'S NAME City Manager, City of Lodi <br />PHONE NUMBER (209) 333-6700 <br />II. 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 />08 / 20 / 99 06 00 18 00 <br />08 / 21 / 99 06 00 18 00 <br />DTSC 8464 (9/92) Page 3 of 4 <br />FS/ADMINFORMSTBR FORM <br />