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(Z:\PROJECTS\Allied Waste\Forward\Five Year Permit Rvw 2013\JTD-5 Yr PR 2013\Appendices\App S - Load Check Program <br />(SWT, 2013)\HOLD\FORM-NOT_Final.DOC <br />S A M P L E N O T I F I C A T I O N L E T T E R <br /> <br /> <br /> <br />Date <br /> <br />Attn: Director of Environmental Health Department <br />County of San Joaquin <br />Environmental Health Department <br />1868 E. Hazelton Ave. <br />Stockton, California 95205 <br /> <br /> <br />RE: FORWARD LANDFILL <br /> NOTIFICATION OF HAZARDOUS WASTE OR PCB WASTE FOUND <br /> AS PART OF THE HAZARDOUS WASTE EXCLUSION PROGRAM (HWEP) <br />================================================================= <br />Dear : <br /> <br />In compliance with Title 27 of the California Code of Regulations (27 CCR), <br />Section 20870(a)(4), this letter serves as notification to your agency of <br />hazardous waste (including universal waste) or PCB waste found as part of the <br />HWEP at Forward Landfill. Enclosed are the inspection forms and other <br />pertinent information. <br /> <br />If you have any questions or require additional information, please advise. <br /> <br />Very truly yours, <br /> <br /> <br /> <br /> <br />Representative’s Name and Position <br />Forward Landfill, Inc. <br /> <br /> <br />c: Director of the California Department of Toxic Substances Control (DTSC) <br /> Central Valley Regional Water Quality Control Board (RWQCB), Sacramento Office