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1.THOMAS <br />DIRECTOR <br />FRITZ BUCHMAN <br />DEPUTY DIRECTOR <br />MICHAEL SELLING <br />DEPUTY DIRECTOR <br />JIM STONE <br />DEPUTY DIRECTOR <br />ROGERJANES <br />BUSINESS ADMINISTRATOR <br />San Joaquin County Environmental Health <br />Department <br />1868 E. Hazelton Avenue <br />Stockton, California 95202 <br />Attn: Kasey Foley, CUPA Program <br />No. of Co <br />on <br />11 <br />P. O. BOX 1810 -1810 E. HAZELTON AVENUE <br />STOCKTON, CALIFORNIA 96201 <br />(209) 468-3000 FAX (209) 468-2999 <br />www.sjgov.org/pubworks <br />ENVIRONMENTAL HEALTH <br />DATE: <br />SUBJECT: HOUSEHOLD HAZARDOUS <br />WASTE COLLECTION EVENT PERMIT BY <br />RULE NOTIFICATION <br />TRANSMITTED HEREWITH: X <br />UNDER SEPARATE COVER: <br />Temporary HHW Collection Facility Permit By Rule Notification (DTSC 8464) <br />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 />September 6, 2014, at the Tracy Municipal Airport. CESQG appointments, if requested, will be <br />scheduled for Friday, September 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 Elisa Moberly at ermoberly@sjgov.org <br />or fax to 468-3078. <br />PBR notification received by CUPA on, , 2014 <br />CUPA Signature <br />Printed Name <br />If you have any questions, please contact me at (209) 468-3066. <br />ELISA R. MOB R <br />Management Analyst I I <br />San Joaquin County Public Works Department <br />Solid Waste Division <br />ERM:sc <br />P:\HHW\HHW Facilities\Satellite events\Satellite - South Co\2014 Tracy HHW Event\Working File\TRANSMITTAL Tracy 2014 PBR EH CUPA.docx <br />c: Elena Manzo, CUPA Program <br />Enclosures <br />HA 30010C <br />