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TEMPORARY HOUSEHOLD HAZARDOUS WASTE n 1EIV <br />ED <br />COLLECTION FACILITY <br />PERMIT BY RULE NOTIFICATION DEC 2 9 2014 <br />0MA�Op�N�M�EN7,L HE <br />K. IS THE PROPERTY ON WHICH THE THHWCF WILL BE HELD OWNED BY THE O&PEfliP 4'Fq <br />YES NO <br />Q If not, a written agreement between the operator and the property owner is required. <br />PROPERTY OWNER'S NAME City of Escalon <br />CONTACT PERSON Treio Diana <br />(LAST NAME) (FIRST NAME) <br />PHONE NUMBER 209.691.7423 <br />II. DAYS AND HOURS OF OPERATION <br />Show hours using -a 24-hour clock. Example <br />PLANNED DATES <br />Month/Day/Year <br />Example: <br />07/31 /92 <br />02 / 20 / 15 <br />02/ 21/ 15 <br />HOURS <br />Open Close <br />Ipm should be shown as 1300. <br />ALTERNATIVE DATES <br />Month/Day/Year Open <br />8:30 16:00 08/ 03/ 92 <br />13:00 19:00 <br />6:00 20:00 <br />08:30 <br />HOURS <br />Close <br />16:00 <br />DTSC 8464 (revised 10/07) PAGE 3 OF 4 <br />