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7 <br />/ Corporation Yard I <br />TEMPORARY HOUSEHOLD HAZARDOUS WASTE <br />COLLECTION FACILITY <br />PERMIT BY RULE NOTIFICATION <br />F. CONTRACTOR INFORMATION (if applicable) <br />:AH11100( <br />G. CONTRACTOR CONTACT PERSON INFORMATION (if applicable) <br />H. ACCEPTANCE OF COMMERCIAL WASTES <br />YES NO <br />}{ Will your facility accept was from small quantity commercial source generators? <br />I. THE FOLLOWING LOCAL AUTHORITIES HAVE BEEN NOTIFIED OF THE <br />INTENDED OPERATION OF THE THHWCF: <br />J. THE FOLLOWING LOCAL PERMITS HAVE BEEN OBTAINED FOR OPERATION <br />OF THE THHWCF: <br />local <br />rPn111TP.(I <br />Yage 01 4 <br />DTSC 8464 (9/92) <br />FS/ADMINFORMSTBR FORM <br />