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TEMPORARY HOUSEHOLD HAZARDOUS WASTE <br />COLLECTION FACILITY <br />PERMIT BY RULE NOTIFICATION <br />F. CONTRACTOR INFORMATION (if applicable) <br />NAME Clean Earth Environmental Solutions, Inc. <br />MAILING ADDRESS 933 First Avenue, Suite 200 <br />CITY King of Prussia STATE PA ZIP 19406 <br />G. CONTRACTOR CONTACT PERSON INFORMATION (if applicable) <br />CONTACT PERSON Bettencourt Paul <br />PHONE NUMBER (916) 496-5039 <br />H. ACCEPTANCE OF CESQG WASTES <br />YES NO <br />❑ F771 Will your facility accept %tastes from conditionally exempt small quantity generators? <br />I. <br />0 <br />ED <br />❑✓ <br />0 <br />ED <br />THE FOLLOWING LOCAL AUTHORITIES HAVE BEEN NOTIFIED OF THE INTENDED <br />OPERATION OF THE THHWCF: <br />Environmental Management <br />Fire Department <br />Law Enforcement <br />Traffic <br />Air Quality <br />J. THE FOLLOWING LOCAL PERMITS HAVE BEEN OBTAINED FOR OPERATION OF THE <br />THHWCF: <br />DTSC 8464 (revised 10107) PAGE 2 OF 4 <br />