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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 />El ✓❑, If not, a written agrcemcnt between the operator and the property owner is required. <br />PROPERTY OWNER'S NAME Central Valley Waste Services/USA Wad <br />CONTACT PERSON Osequera Alex <br />PHONE NUMBER (209) 369-8274 <br />IL DAYS AND HOURS OF OPERATION <br />Show hours using a 24-hour clock. Example: <br />PLANNED DATES HOURS <br />Month/Day/Year Open Close <br />Example: , <br />-07/ 31 /92 8:30 16:00 <br />-05/ 04 / 12 8:00 20:00 <br />-05/ 05/ 12 5:00 20:00 <br />1 I <br />I I <br />I I <br />1 I <br />I I <br />I I <br />1 1 <br />l I <br />I I <br />(FJRST NAME) <br />' ., <br />Ipru shoald he shown as 1300. � <br />ALTERNATIVE DATES HOURS <br />Month/Day/Year Open Close <br />r <br />08 / 03/ 92. 08:30 16:00 <br />I I <br />1 1 <br />I I <br />I I <br />/ 1 <br />1 I <br />1 I <br />1 I <br />I I <br />1 I <br />1 I <br />DTSC 8464 (revised 10/07) NAGE 3 OF 4 <br />