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® Department of Public Works <br /> A , o I N vlllfk-p = Kris Balaji, Director of Public Works <br /> COUNTY % Fritz Buchman, Deputy Director/Development <br /> j s Michael Selling, Deputy Director/Engineering <br /> Waffing f' 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 from the City of Tracy for an upcoming HHW Event scheduled for Saturday, <br /> May 11 , 2019 , at the north parking lot of 333 Civic Center Plaza, Tracy, CA 95376 (Tracy City Hall) . <br /> CESQG appointments , if requested , will be scheduled for Friday , May 10 , 2019 , 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, Management Analyst 11 <br /> at rchin@sjgov. org or fax to 468-3078. <br /> PBR notification received by CUPA on82G�t1� L1 / 3 , 2019 <br /> w1 U% rWA AlM � <br /> CUPA Sig a ure Printed Name <br /> If you ` anyq=t , e contact me at (209) 468-3066 . <br /> RAJONY CHIN <br /> Management Analyst IIR E C <br /> San Joaquin County Public Works Department <br /> s <br /> Solid Waste Division FEF 1 3 101 <br /> RC : mf <br /> Tracy 2019 PBR to CUPA <br /> ENVIRONMENTAL.TAL. HEALTH <br /> sr.aTS ,�, �R� g ws � iENI <br /> Enclosures <br /> 1810 East Hazelton Avenue Stockton , California 95205 T 209 468 3000 F 209 468 2999 <br />