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• State of California - Enrironmc roteetion A <br />they Depart �f Toxic Sub.bnett Control /� I <br />For Official Use Only �" 1 <br />DTSC Regional Office <br />TEMPORARY HOUSEHOLD HAZARDOUS WASTE <br />COLLECTION FACILITY <br />PERMIT BY RULE NOTIFICATION <br />For use by agencies operating a Temporary Household Hazardous Waste Collection Facility (THHWCF) <br />under Permit By Rule. Each location requires a separate form. <br />O INITIAL NOTIFICATION O REVISED NOTIFICATION Put an asterik <br />in the left margin next to the revised <br />information. <br />I. GENERAL INFORMATION <br />A. FACILITY ID NUMBER CAH777000836 <br />B. FACILITY NAME Ripon City Hall <br />C. FACILITY ADDRESS OR LEGAL DESCRIPTION OF FACILITY LOCATION <br />Address 259 North Wilma <br />City Ripon, CA Zip Code 95366 <br />County San Joaquin <br />D. OPERATOR (PUBLIC AGENCY) <br />Agency name San Joaquin County Dept. Of Public Works <br />Mailing Address 1810 East Hazelton <br />City Stockton, CA Zip Code 95201 <br />County San Joaquin <br />E. OPERATOR/AGENCY CONTACT PERSON INFORMATION <br />Contact Person Alison Hudson <br />Phone Number (209)468-3066 <br />DTSC 8464 (9/92) Pagc I of 4 <br />