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USED OIL ONLY <br /> Facility Name: .$'710-c-/f' 0 ZNfLy frat•ys Cot lvo.✓ e,@- <br /> Facility Street Address: Q5-1 - C° e• 0/ Xa .J <br /> CRY: s IVC-k to .d 00- Q 6—ka <br /> Contact Person: o'* f No w -e Phone: y&*.Z_$'p � <br /> I certify that the only hazardous waste generated by the above referenced Facility is USED <br /> OIL and that the total amount7'M <br /> epe ted per less than 5 tons. <br /> Signed• u' Y� <br /> A Division of San Joaquin County Health Cam Scrviccs <br />