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• V Vf <br />Woncmg for YOU <br />TO: San Joaquin County Environmental <br />Health Department <br />1868 E. Hazelton Avenue <br />Stockton, California 95202 <br />Attn: Kasey Foley, CUPA Program <br />No. of Copies I Description <br />r� <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 />DATE: February 13, 2013 <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 please find the Temporary Household Hazardous Waste Collection Facility <br />Permit by Rule Notification for an upcoming HHW Event, scheduled for Saturday, April 6, 2013 <br />at the Central Valley Waste Services Lodi Transfer Station. CESQG appointments, if <br />requested, will be 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 <br />notification by our COPA. To help us fulfill this requirement, please complete the lines below to <br />acknowledge receipt of this PBR notification. Please send this signed document back to David <br />Gorton at dgorton@sjgov.org or fax to 468-3078. <br />PBR notification received by CUPA on, LJ , 2013 <br />CUP Sign turePrinted Name <br />If you fyd any quesAons, please contact me at 468-3066. <br />Thank you, <br />DAVID-8'ORTCtP <br />Planning & Materia Ma agement Section <br />San Joaquin Co. Public Works Dept., Solid Waste Div. <br />DG:sc <br />Enclosures <br />P:\HHW\HHW Facilities\Satellite - North Co\2013 Lodi HHW event\Working files\Transmittal - 2013 Lodi PBR.doc <br />i <br />o.1*4U1 c <br />r y <br />� IisiSil��' <br />THOMAS M. GAU <br />DIRECTOR <br />FRITZ BUCHMAN <br />DEPUTY DIRECTOR <br />MICHAEL SELLING <br />DEPUTY DIRECTOR <br />ROGERJANES <br />BUSINESS ADMINISTRATOR <br />• V Vf <br />Woncmg for YOU <br />TO: San Joaquin County Environmental <br />Health Department <br />1868 E. Hazelton Avenue <br />Stockton, California 95202 <br />Attn: Kasey Foley, CUPA Program <br />No. of Copies I Description <br />r� <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 />DATE: February 13, 2013 <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 please find the Temporary Household Hazardous Waste Collection Facility <br />Permit by Rule Notification for an upcoming HHW Event, scheduled for Saturday, April 6, 2013 <br />at the Central Valley Waste Services Lodi Transfer Station. CESQG appointments, if <br />requested, will be 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 <br />notification by our COPA. To help us fulfill this requirement, please complete the lines below to <br />acknowledge receipt of this PBR notification. Please send this signed document back to David <br />Gorton at dgorton@sjgov.org or fax to 468-3078. <br />PBR notification received by CUPA on, LJ , 2013 <br />CUP Sign turePrinted Name <br />If you fyd any quesAons, please contact me at 468-3066. <br />Thank you, <br />DAVID-8'ORTCtP <br />Planning & Materia Ma agement Section <br />San Joaquin Co. Public Works Dept., Solid Waste Div. <br />DG:sc <br />Enclosures <br />P:\HHW\HHW Facilities\Satellite - North Co\2013 Lodi HHW event\Working files\Transmittal - 2013 Lodi PBR.doc <br />