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r <br />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 <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 />X INITIAL NOTIFICATION REVISED NOTIFICATION Put an <br />asterisk in the left margin next to the <br />revised information. <br />I. GENERAL INFORMATION <br />IA. (FACILITY ID NUMBER (CAH I 11000527 _...__.._......... ..... ..... ------- ..__...._._...—__.....__._.._.._____..._.._ <br />1 113. IFACILITY NAME Vovelace Materials Recovery Facility <br />C. FACILITY ADDRESS OR LEGAL DESCRIPTION OF FACILITY <br />LOCATION <br />ADDRESS 12323 E Lovelace Road <br />CITY Manteca <br />CA ZIP CODE <br />95336 <br />AST NAME) <br />r2109) <br />....... -............. –_._....... _._�� <br />FIRST NAME) <br />HONE NUMBER 468-3066 <br />COUNTY SanJoaquin <br />an Joaquin <br />D. OPERATOR (PUBLIC AGENCY) <br />AGENCY NAME County of San Joaquin Department of Public Works <br />AILING ADDRESS POBox 1810, 1910 Hazelton <br />ITY <br />tockton <br />CA ZIP CODE 5201 <br />AST NAME) <br />r2109) <br />....... -............. –_._....... _._�� <br />FIRST NAME) <br />HONE NUMBER 468-3066 <br />COUNTY <br />an Joaquin <br />E. OPERATOR/AGENCY CONTACT PERSON INFORMATION <br />CONTACT PERSON Ciano <br />Jennifer <br />AST NAME) <br />r2109) <br />....... -............. –_._....... _._�� <br />FIRST NAME) <br />HONE NUMBER 468-3066 <br />DTSC 8464 (9/92) Page ❑ of 4 <br />FS/ADMINFORMS\PBR FORM <br />