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Pqu iN <br />�o.�•COG <br />THOMAS M. GAU <br />• i DIRECTOR <br />4<<FOR� <br />FRITZ BUCHMAN <br />DEPUTY DIRECTOR <br />MICHAEL SELLING <br />DEPUTY DIRECTOR <br />STEVEN WINKLER <br />DEPUTY DIRECTOR <br />ROGER JANES <br />BUSINESS ADMINISTRATOR <br />Working for YOU <br />TO: San Joaquin County Environmental <br />Health Department <br />600 E. Main Street <br />Stockton, CA 95202 <br />Attn: Kasey Foley, CUPA Program <br />P. O. BOX 1810 -1810 E. HAZELTON AVENUE <br />STOCKTON, CALIFORNIA 95201 <br />(209) 468-3000 FAX (209) 468-2999 <br />www.sjgov.org/pubworks <br />RECEIVE® <br />NAR 0 7 2012 <br />ENVIRONMENT4L NEALTN <br />PERMIT/SERVICES <br />DATE: March 2, 2012 <br />SUBJECT: Household Hazardous Waste <br />Collection Event Permit By Rule Notification <br />TRANSMITTED HEREWITH: X <br />UNDER SEPARATE COVER: <br />No. of Copies Description <br />1 Temporary HHW Collection Facility Permit By Rule Notification (DTSC 8464) <br />1 Letter of agreement from property owner <br />Remarks: Enclosed please find the Temporary Household Hazardous Waste Collection Facility <br />Permit By Rule Notification for an upcoming HHW Event, scheduled for Saturday, May 5, 2012 <br />at the Central Valley Waste Services Lodi Transfer Station. CESQG appointments, if <br />requested, will be scheduled for Friday, May 4, after set-up. <br />As part of the documentation requirements, we must have on file proof of receipt of this PBR <br />notification by our COPA. To help us fulfill this requirement, please complete the lines below to <br />acknowledge receipt of this PBR notification. Please send this signed document back to Kimbra <br />Andrews at kandrews@sjgov.org or fax to 468-3078. <br />PBR notification received by CUPA on, , 2012 <br />CUPA Signature <br />Printed Name <br />If you have any questions, please contact me at 468-3066. <br />Thank you, <br />KIMBRA ANDREWS <br />Management Analyst, Hazardous Waste Program <br />San Joaquin Co. Public Works Dept., Solid Waste Div. <br />