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'FACILITY NAME scalon Community Center D NUMBER rAHIII000284 <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 />MAILING ADDRESS <br />880 West Verdulera Street <br />ITY <br />amarillo <br />CA ZIP CODE 3010 <br />G. CONTRACTOR CONTACT PERSON INFORMATION (if applicable) <br />CONTACT PERSON Simpson Sharon <br />_.._�....._...................... .......................-....... ....__...._............... - .- _........__..._.._........... .._....__.__-............._._.----............_..... <br />_...................._.._.............._.._........_._. <br />..... .. <br />LAST NAME) FIRST NAME) <br />HONE NUMBER 707) 747-5589 <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 />X Environmental Management <br />X Fire Department <br />X Law Enforcement <br />X Traffic <br />X Air Quality <br />J. THE FOLLOWING LOCAL PERMITS HAVE BEEN OBTAINED FOR OPERATION <br />OF THE THHWCF: <br />No local permits required. <br />DTSC 8464 (9/92) Page ❑ of 4 <br />FS/ADMINFORMSTBR FORM <br />