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MICHAEL SELLING <br />DEPUTY DIRECTOR <br />FRITZ BUCHMAN <br />.DEPUTY DIRECTOR <br />JIM STONE <br />DEPUTY DIRECTOR <br />ROGERJANES <br />BUSINESS ADMINISTRATOR <br />o <br />Worldng for YOU <br />TO: San Joaquin County Environmental Health <br />Department <br />1868 E. Hazelton Avenue <br />Stockton, California 95202 <br />Attn: Kasey Foley, CUPA Program <br />No. of Copies I Descriptior <br />P. 0. BOX 1810 - 1810 E. HAZELTON AVENUE <br />STOCKTON, CALIFORNIA 95201 <br />(209) 468-3000 FAX (209) 468-X29999 <br />pubworks <br />ol� EWE% <br />DEC 2 9 2014 <br />ENVIRONMENTAL. HEALTH <br />PERMIT/SERVICES <br />DATE: December 29, 2014 <br />SUBJECT: HOUSEHOLD HAZARDOUS <br />WASTE. COLLECTION EVENT PERMIT BY <br />RULE NOTIFICATION <br />TRANSMITTED HEREWITH: X <br />UNDER SEPARATE COVER: <br />Temporary HHW Collection Facility Permit By Rule Notification (DTSC 8464) <br />Letter of agreement from property owner <br />Remarks: Enclosed is the Temporary Household Hazardous Waste Collection Facility Permit By Rule <br />Notification and letter for an upcoming HHW Event scheduled for Saturday, February 21, 2016, at the <br />Escalon Community Center. Any CESQG appointments, if requested, will be scheduled for Friday, <br />February 20th after set-up. <br />As part of the documentation requirements, we must have on file proof of receipt of this PBR notification <br />by our COPA. To help us fulfill this requirement, please complete the lines below to acknowledge receipt <br />of this PBR notification. Please send this signed document back to Elisa Mobedy emoberly@sjgov.org or <br />fax to 468-3078. <br />PBR notification received by CUPA on, <br />CUPA Signature <br />Printed Name <br />If you have any questions, please contact me at (209) 468-3066. <br />- 4�k <br />ELI A MOBERLY <br />Environmental Operations Divisio <br />San Joaquin Co. Public Works Dept., Solid Waste Div. <br />EM:sc <br />P:\HHW\HHW Facilities\Satellite events\Satellite - Escalon\2015 Escalon HHW Event\Working File\Escalon 2015 CUPA PBR <br />Transmittal.docx <br />c: Elena Manzo, CUPA Program <br />Enclosures <br />HA 30010C <br />