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State of California -Environmental Protection Agency <br />FOR OFFICIAL USE ONLY <br />DTSC REGIONAL OFFICE <br />Department of Toxic Substance Control <br />TEMPORARY HOUSEHOLD HAZARDOUS WASTE 0,2 jUj 2 ( Q t <br />COLLECTION FACILITY, (; 43 <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 />FX INITIAL NOTIFICATION FIREVISED NOTIFICATION Put an <br />asterisk in the left margin next to the <br />revised information. <br />I. GENERAL INFORMATION <br />A. FACILITY ID NUMBER <br />B. FACILITY NAME <br />CAH 111000527 <br />Lovelace Materials Recovery Facility <br />C. FACILITY ADDRESS OR LEGAL DESCRIPTION OF FACILITY <br />LOCATION <br />ADDRESS 2323 E Lovelace Road <br />CITY <br />COUNTY <br />Manteca <br />San Joaquin <br />CA ZIP CODE 95336 - <br />D. OPERATOR (PUBLIC AGENCY) <br />AGENCY NAME County of San Joaquin Department of Public Works <br />MAILING ADDRESS PO Box 1810, 1910 Hazelton <br />CITY Stockton CA ZIP CODE <br />COUNTY San Joaquin <br />E. OPERATOR/AGENCY CONTACT PERSON INFORMATION <br />CONTACT PERSON DiCiano Jennifer <br />(LAST NAME) (FIRST NAME) <br />PHONE NUMBER (209) 468-3066 <br />DTSC 8464 (9/92) <br />FS/ADMINFORMS\PBR FORM <br />Page of 4 <br />