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State ofCaliforia—California Environmental Protection Agency <br />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 kin under Permit gy Rule. Each location requires a <br />separate form. <br />✓� INITIAL NOTIFICATION <br />I. GENERAL INFORMATION <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 />CAH777001949 <br />Tracy City Hall <br />C. FACILITY ADDRESS OR LEGAL DESCRIPTION OF FACILITY LOCATION <br />ADDRESS 333 Civic Center Plaza <br />CITY Tracy STATE CA ZIP <br />COUNTY 95376 <br />San Joaquin <br />D. OPERATOR (PUBLIC AGENCY) <br />AGENCY NAME San Joaquin County <br />Department of Public Works <br />MAILING ADDRESS PO Box 1810, 1810 E. Hazelton Ave. <br />CITY <br />Stockton <br />COUNTY San Joaquin <br />STATE CA ZIP <br />95201 <br />E. OPERATOR/AGENCY CONTACT PERSON INFORMATION <br />CONTACT PERSON <br />PHONE NUMBER <br />Chin <br />(LAST NAME) <br />(209) 468-3066 <br />Rajony <br />(FIRST NAME) <br />DTSC 8464 (revised 10/07) PAGE 1 OF 4 <br />