Laserfiche WebLink
State of California — California Environmental Protection Agency Department of Toxic Substances Control <br />TEMPORARY HOUSEHOLD HAZARDOUS WASTE <br />COLLECTION FACILITY <br />PERMIT BY RULE NOTIFICATION <br />For use by public agencies operating a Temporary Household Hazardous Waste Collection Facility (THHWCF) under Permit By Rule. Each location requires a <br />separate form. <br />O INITIAL NOTIFICATION ❑ REVISED NOTIFICATION Put an asterisk in the left margin next to the revised <br />information <br />I. GENERAL INFORMATION <br />A. FACILITY ID NUMBER CAH 111000857 <br />B. FACILITY NAME Tracy Municipal Airport <br />C. FACILITY ADDRESS OR LEGAL DESCRIPTION OF FACILITY LOCATION <br />ADDRESS 5749 South Tracy Boulevard <br />CITY Tracy STATE CA Zip 95377 <br />COUNTY San Joaquin <br />D. OPERATOR (PUBLIC AGENCY) <br />AGENCY NAME San Joaquin County <br />Department of Public Works <br />MAILING ADDRESS <br />CITY Stockton <br />COUNTY San Joaquin <br />PO Box 1810 <br />STATE CA zip 95201-1810 <br />E. OPERATOR/AGENCY CONTACT PERSON INFORMATION <br />CONTACT PERSON Moberly Elisa <br />(LAST NAME) (FIRST NAME) <br />PHONE NUMBER 209-468-3066 <br />DISC 8464 (revised 10/07) PAGE 1 OF 4 <br />