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FACILITY NAME North County Recycling Center <br />TEMPORARY HOUSEHOLD HAZARDOUS WASTE <br />COLLECTION FACILITY <br />PERMIT BY RULE NOTIFICATION <br />ID NUMBER CAH 111000526 <br />F. CONTRACTOR INFORMATION (if applicable) <br />NAME MSE Environmental <br />MAILING ADDRESS 880 West Verdulera Street <br />CITY Camarillo CA ZIP CODE 93010 - <br />G. CONTRACTOR CONTACT PERSON INFORMATION (if applicable) <br />CONTACT PERSON Vanderwal Sharon <br />(LAST NAME) <br />(FIRST NAME) <br />PHONE NUMBER (707) 747-5589 <br />H. ACCEPTANCE OF COMMERCIAL WASTES <br />YES NO <br />❑X Will your facility accept wastes from small quantity commercial source generators? <br />I <br />J. <br />THE FOLLOWING LOCAL AUTHORITIES HAVE BEEN NOTIFIED OF THE <br />INTENDED OPERATION OF THE THHWCF: <br />Environmental Management <br />Fire Department <br />Law Enforcement <br />Traffic <br />Air Quality <br />THE FOLLOWING LOCAL PERMITS HAVE BEEN OBTAINED FOR OPERATION <br />OF THE THHWCF: <br />No local hermits required <br />DTSC 8464 (10/97) Page ❑ of 4 <br />FS/ADMINFORMSTBR FORM <br />