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ACILITY NAME—]Delta Col. J NUMBER AHI 11000207 <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 />PROPERTY OWNER'S NAME San Joaquin Delta College District <br />HONE NUMBER 209-954-5074 <br />IL DAYS AND HOURS OF OPERATION <br />Show hours using a 24-hour clock. Example: Ipm should be shown as 1300. <br />PLANNED DATES HOURS <br />Month/Day/Year Open Close <br />05 / 31 1/1 02 06 00 18 00 <br />06 1/1 01 1/1 02 06 00 18 00 <br />DTSC 8464 (9/92) Page of 4 <br />F&ADMINFORMSTBR FORM <br />