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� I � ® Department of Public Works <br /> SAN o A <br /> Q Kris Balaji, Director of Public Works <br /> p"rg� � <br /> COUNTY— 2 Fritz Buchman , Deputy DirectorlDevelopmeni <br /> Com . , :yss W- 1✓ s ] ) cry . <br /> t` Michael Selling, Deputy DirectodEngineering <br /> Woddng fw YOU Jim Stone, Deputy Director/Operations <br /> Kristi Rhea, Manager of Strategic Initiatives <br /> TO : San Joaquin County Environmental Health DATE : February 13 , 2019 <br /> Department <br /> 1868 E . Hazelton Avenue SUBJECT : HOUSEHOLD HAZARDOUS <br /> Stockton , California 95205 WASTE COLLECTION EVENT PERMIT BY <br /> RULE NOTIFICATION <br /> Attn : Muniappa Naidu , CUPA Program <br /> TRANSMITTED HEREWITH : X <br /> UNDER SEPARATE COVER : <br /> No . of Copies Description <br /> 1 TEMPORARY HHW COLLECTION FACILITY PERMIT BY RULE NOTIFICATION <br /> ( DTSC 8464) <br /> 1 LETTER OF AGREEMENT FROM PROPERTY OWNER <br /> Remarks : Enclosed is the Temporary Household Hazardous Waste Collection Facility Permit by Rule <br /> (PBR) Notification and letter for an upcoming HHW Event scheduled for Saturday, April 6 , 2019 , at the <br /> Central Valley Waste Services , Lodi Transfer Station , Any CESQG appointments , if requested , will be <br /> scheduled for Friday, April 5 , 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 Rajony Chin, rchin@sjgov. org or fax <br /> to 468-3078. <br /> PBR notification received by CUPA onf G-� � ` -1 l3 , 2019 <br /> ti( G�� /YJyII✓/f�/�d1 /t��D� <br /> CUPA Signature / Printed Name <br /> If you have an uestions , please contact me at (209) 468-3066 . <br /> RA NY HIN <br /> 1 <br /> Environmental Operations Division <br /> San Joaquin Co . Public Works Dept . , Solid Waste Div . <br /> RC : mf <br /> Lodi 2019 PBR to CUPA <br /> ENVIRONMEN <br /> Enclosures r F� IEINI <br /> 1810 East Hazelton Avenue Stockton , California 95205 T 209 468 3000 F 209 468 2999 <br />