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{ <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 BY THE OPERATOR <br />YES NO <br />❑ Q <br />If not, a written agreement between the operator and the property owner is required. <br />PROPERTY OWNER'S <br />NAME Central Valley Waste Services/USA Wat <br />CONTACT PERSON <br />Osequera <br />Alex <br />(LAST NAME) <br />(FIRST NAME) <br />PHONE NUMBER <br />(209) 369-8274 <br />II. DAYS AND HOURS OF OPERATION <br />Show hours using a 24-hour clock. Example: <br />Ipm should be shown as 1300. <br />PLANNED DATES <br />HOURS <br />ALTERNATIVE DATES HOURS <br />Month/Day/Year Open <br />Close <br />Month/Day/Year Open Close <br />Example: <br />07/31 /92 8:30 <br />16:00 <br />08/ 03/ 92 08:30 16:00 <br />—05/ 04 / 12 8:00 <br />20:00 <br />—05/ 05/ 12 5:00 <br />20:00 <br />DISC 8464 (revised 10/07) <br />PAGE 3 OF 4 <br />