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ACILITY NAME Pelta College D NUMBER AH111000207 <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 />X I If not, a written agreement between the operator and the property owner is required. <br />ROPERTY OWNER'S NAME San Joaquin Delta College District <br />HONE NUMBER 209-954-5074 <br />II. DAYS AND HOURS OF OPERATION <br />Show hours using a 24-hour clock. Example: fpm should be shown as 1300. <br />............................ ......... _.................. ......................................................... ._....... _............... ........... ................................................................. <br />DTSC 8464 9/92 Page of 4 <br />F&ADMINFORMSTBR FORM <br />