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ACILITY NAME rscalon l munity Center ) NUMBER rAH111000284 <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 />ROPERTY OWNER'S NAME Charles McDonald, City of Escalon <br />HONE NUMBER 209) 838-3556 <br />H. DAYS AND HOURS OF OPERATION <br />Show hours using a 24-hour clock. Example: 1 pm should be shown as 1300. <br />DTSC 8464 (9/92) Page ❑ of 4 <br />FS/ADMINFORMSTBR FORM <br />