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ACILITY NAME racy Municipal Airport NUMBER AH1 11000857 <br />TEMPORARY HOUSEHOLD HAZARDOUS WASTE <br />COLLECTION FACILITY <br />PERMIT BY RULE NOTIFICATION <br />F. CONTRACTOR INFORMATION (if applicable) <br />AME <br />MSE Environmental, Inc. <br />HONE NUMBER <br />AILING ADDRESS <br />880 West Verdulera Street <br />ITY <br />ramarillo <br />ICA ZIP CODE P.1010 <br />G. CONTRACTOR CONTACT PERSON INFORMATION (if applicable) <br />CONTACT PERSON <br />Oldemeyer Janice K. <br />(LAST NAME) FIRST NAME) <br />HONE NUMBER <br />(805) 987-0217 <br />H. ACCEPTANCE OF COMMERCIAL WASTES <br />YES NO <br />X Will 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 />1XI I Environmental Management <br />1XI I Fire Department <br />1XI I Law Enforcement <br />1XI I Traffic <br />X 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 0 of 4 <br />FS/ADMINFORMSTBR FORM <br />