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ACILITY NAME scalon Community Center I P NUMBER FAH111000284 <br />TEMPORARY HOUSEHOLD HAZARDOUS WASTE <br />COLLECTION FACILITY <br />PERMIT BY RULE NOTIFICATION <br />CONTRACTOR INFORMATION (if applicable) <br />AME MSE Environmental, Inc. <br />MAILING ADDRESS 880 West Verdulera Street <br />ITY Famarillo CA ZIP CODE P3010 <br />G. CONTRACTOR CONTACT PERSON INFORMATION (if applicable) <br />CONTACTPERSON Oldemeyer Janice <br />---._.._.......--..----..._... ...... _...... ...._..... _.._.__._...__._...____._.__....__.... _......... --- .... _...._._..... <br />LAST NAME) FIRST NAME) <br />HONE NUMBER 805) 987-0217 <br />H. ACCEPTANCE OF COMMERCIAL WASTES <br />YES NO <br />IXI I IWill your facility accept wastes from small quantity commercial source generators? <br />THE FOLLOWING LOCAL AUTHORITIES HAVE BEEN NOTIFIED OF THE <br />INTENDED OPERATION OF THE THHWCF: <br />IXI I Environmental Management <br />1XI I Fire Department <br />1XI ILaw Enforcement <br />IXI I Traffic <br />1XI I Air Quality <br />J. THE FOLLOWING LOCAL PERMITS HAVE BEEN OBTAINED FOR OPERATION <br />OF THE THHWCF: <br />o local permits required. <br />DTSC 8464 (9/92) Page o f 4 <br />FS/ADMINFORMSTBR FORM <br />