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AGILITY NAME racy Mun,�Ipal Airport il NUMBER AH 1 1 1 000857 <br />TEMPORARY HOUSEHOLD HAZARDOUS WASTE <br />COLLECTION FACILITY <br />PERMIT BY RULE NOTIFICATION <br />F. CONTRACTOR INFORMATION (if applicable) <br />AME MSE Environmental, Inc. <br />AILING ADDRESS 880 West Verdulera Street <br />ITY amarillo ICA ZIP CODE3010 <br />G. CONTRACTOR CONTACT PERSON INFORMATION (if applicable) <br />CONTACT PERSON <br />Oldemeyer <br />Janice K. <br />(LAST NAME) <br />FIRST NAME) <br />HONE NUMBER <br />(805) 987-0217 <br />H. ACCEPTANCE OF COMMERCIAL WASTES <br />YES NO <br />1XI I I Will your facility accept wastes from small quantity commercial source generators? <br />I. 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 />J. THE FOLLOWING LOCAL PERMITS HAVE BEEN OBTAINED FOR OPERATION <br />OF THE THHWCF: <br />lNo local permits required.__ .... .......... __..... - ....... _... -............ <br />DTSC 8464 (9/92) Page 0 of 4 <br />FS/ADMINFORMSTBR FORM <br />