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0 0 <br />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 />El INITIAL NOTIFICATION <br />A. FACILITY ID NUMBER <br />B. FACILITY NAME <br />REVISED NOTIFICATION Put an asterisk in the left margin next to the revised <br />information <br />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 P.O. Box 1810, 1810 E. Hazelton Avenue <br />CITY Stockton STATE CA ZIP 95201 <br />EKM5300w=M= <br />E. OPERATORIAGENCY CONTACT PERSON INFORMATION <br />CONTACT PERSON Moberly Elisa <br />(LAST NAME) (FIRST NAME) <br />PHONE NUMBER 209.468.3066 <br />101 <br />DISC 8464 (revised 10/07) <br />.• , , <br />DEPARTMENT <br />