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* ACILITY NAME racy Municipal Airport D NUMBER AH111000857 <br />TEMPORARY HOUSEHOLD HAZARDOUS WASTE <br />COLLECTION FACILITY <br />PERMIT BY RULE NOTIFICATION <br />F. CONTRACTOR INFORMATION (if applicable) <br />G. CONTRACTOR CONTACT PERSON INFORMATION (if applicable) <br />ONTACT PERSON Drake <br />Jessica <br />------...__....__....._.._...._..._..._....-----..__.__..__.. <br />(LAST NAME) <br />_..._----.._._.__ ....................—_-._..._�_ _ �...._ <br />FIRST NAME) <br />HONE NUMBER (707) 747-5589 <br />H. ACCEPTANCE OF COMMERCIAL WASTES <br />YES NO <br />IXI I IWill your facility accept wastes from small quantity commercial source generators? <br />I. THE FOLLOWING LOCAL AUTHORITIES HAVE BEEN NOTIFIED OF THE <br />INTENDED OPERATION OF THE THHWCF: <br />IXI IEnvironmental Management <br />IXI IFire Department <br />IXI ILaw Enforcement <br />J. THE FOLLOWING LOCAL PERMITS HAVE BEEN OBTAINED FOR OPERATION <br />OF THE THHWCF: <br />No local permits required. <br />DTSC 8464 (9/92) Page o f 4 <br />F&ADMINFORMSTBR FORM <br />