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r <br />FACILITY NAME ornton New Hope School Parking Lot ID NUMBER CAH111000527 <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 <br />to_zt,.......N.e_t�t Hoop..__..��.�,Q..o_1__�s_t_rc.t..._.__......------ <br />PHONE NUMBER 209-794-2376 Contact Sam Garamendi <br />II. 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 />08 / 10 / 02 08 00 15 00 <br />/ <br />/ <br />t <br />/ <br />/ <br />DTSC 8464 (9/92) Page ❑ of 4 <br />FS/ADMINFORMSTBR FORM <br />