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:e <br />State of California — California Environmental Protection Agency Department of Toxic Substances Control <br />TEMPORARY HOUSEHOLD HAZARDOUS WASTE <br />COLLECTION FACILITY <br />PERMIT BY RULE NOTIFICATION <br />For use by public agencies operating a Temporary Household Hazardous Waste Collection Facility (THHWCF) under Permit By Rule. Each location requires a <br />separate form. <br />0 INITIAL NOTIFICATION ❑ REVISED NOTIFICATION Put an asterisk in the left margin next to the revised <br />information <br />I. GENERAL INFORMATION <br />A. FACILITY ID NUMBER CAH111001366 <br />B. FACILITY NAME Central Valley Waste Services <br />Lodi Transfer Station <br />C. FACILITY ADDRESS OR LEGAL DESCRIPTION OF FACILITY LOCATION <br />ADDRESS 1333 East Turner Road <br />CITY Lodi STATE CA Zip 95240 <br />COUNTY San Joaquin <br />D. OPERATOR (PUBLIC AGENCY) <br />AGENCY NAME County of San Joaquin, Department of Public Works <br />MAILING ADDRESS P.O. Box 1810, 1810 E. Hazelton Avenue <br />CITY Stockton STATE CA zip 95201 <br />COUNTY San Joaquin <br />E. OPERATOR/AGENCY CONTACT PERSON INFORMATION <br />CONTACT PERSON Andrews Kimbra <br />PHONE NUMBER <br />DTSC 8464 (revised 10/07) <br />(209) 468-3066 <br />PAGE 1 OF 4 <br />