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FACILITY NAMETrac y Municip • <br />al Airport ID NUMBER CAH1 11000857 <br />TEMPORARY HOUSEHOLD HAZARDOUS WASTE <br />COLLECTION FACILITY <br />PERMIT BY RULE NOTIFICATION <br />F. CONTRACTOR INFORMATION (if applicable) <br />NAME MSE Environmental <br />MAILING ADDRESS 880 West Verdulera Street <br />CITY <br />Camanno CA ZIP CODE 93010 - <br />G. CONTRACTOR CONTACT PERSON INFORMATION (if applicable) <br />CONTACT PERSON Mantell Dawn <br />(LAST NAME) (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 />F71 <br />D <br />a <br />0 <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 />J. THE FOLLOWING LOCAL PERMITS HAVE BEEN OBTAINED FOR OPERATION <br />OF THE THHWCF: <br />No local permits required. <br />Page ❑ of 4 <br />DISC 8464 (9192) <br />FSIADMINFORMS\PBR FORM <br />