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.f <br />, t <br />State of California - Environmental Protection Agency Department of Toxic Substance Control <br />+ <br />FOR OFFICIAL USE ONLY ORIGINAL <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) under Permit By Rule. Each <br />location requires a separate form. <br />INITIAL NOTIFICATION X REVISED NOTIFICATION Put an <br />asterisk in the left margin next to the <br />revised information. <br />I. CENERAI_ INFORMATION <br />A. FACILITY ID NUMBER <br />CA ZIP CODE <br />CAH111000857 <br />................ ......_................. ........................... ...................... _... ............................................... ................... .... ..................... ...-............................................................................................................_......._. <br />- <br />*B. FACILITY NAME <br />Tracy Municipal Airport <br />ITY ITracy <br />CA ZIP CODE <br />95376 <br />- <br />COUNTY Isan Joaquin <br />D. OPERATOR (PUBLIC AGENCY) <br />AGENCY NAME ounty of San Joaquin Department of Public Works <br />ILING ADDRESS POB 1810, 1810 East Hazelton <br />ITY Stockton <br />CA ZIP CODE <br />95201 <br />- <br />COUNTY Isan Joaquin <br />E. OPERATOR/AGENCY CONTACT PERSON INFORMATION <br />CONTACT PERSON udson Alison <br />_ .._.._....... _ — _ �__—_.—........._._.__........__..._......._........._...._..._.._...._. .............---__._...................................... _.......... <br />_....... <br />LAST NAME) � FIRST NAME) <br />HONE NUMBER 209) 468-3066 <br />DTSC 8464 (9/92) Page o f 4 <br />FS/ADMINFORMS\PBR FORM <br />