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FACILITY NAME Park and Ride Parking Lot <br />ID NUMBER 681 <br />TEMPORARY HOUSEHOLD HAZARDOUS WASTE <br />COLLECTION FACILITY <br />PERMIT BY RULE NOTIFICATION <br />K. IS THE PROPERTY ON WHICH THE THHNVCF WILL BE HELD OWNED <br />BY THE OPERATOR? <br />YES NO <br />XD If not, a written agreement between the operator and the property owner is required. <br />PROPERTY OWNER'S NAME City of Ripon / Leon Compton, City Administrator <br />PHONE NUMBER 209-599-2108 <br />I1. DAYS AND HOURS OF OPERATION <br />Show hours using a 24-hour clock. Example: I pm should be shown as 1300. <br />PLANNED DATES HOURS <br />Month/Day/Year Open <br />09 / 16 1 00 09 00 <br />DTSC 8464 (9/92) <br />FS%ADMINFORMSTBR FORM <br />Close <br />13 00 <br />Page 3 of <br />