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F . . <br />State of California - Environmental Protection Agency <br />FOR OFFICIAL USE ONLY <br />DTSC REGIONAL OFFICE <br />TEMPORARY HOUSEHOLD HAZARDOUS WASTE <br />COLLECTION FACILITY <br />PERMIT BY RULE NOTIFICATION <br />Department of Toxic Substance Control <br />For use by agencies operating a Temporary Household Hazardous Waste Collection Facility (THHWCF) under Permit By Rule. Each <br />location requires a separate form. <br />REVISED NOTIFICATION Put an <br />asterisk in the left margin next to the <br />revised information. <br />I. GENERAL INFORMATION <br />C. FACILITY ADDRESS OR LEGAL DESCRIPTION OF FACILITY <br />LOCATION <br />D. OPERATOR (PUBLIC AGENCY) <br />[AGENCY NAME ounty of San Joaquin Department of Public Works <br />1 <br />0 <br />E. OPERATOR/AGENCY CONTACT PERSON INFORMATION <br />rage o 1 4 <br />DTSC 8464 (9/92) <br />FSIADMTNFORMSIPBR FORM <br />