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------------ <br /> USED OIL ONLY <br /> Facility Name: A►^nc.v--,, c�cx-T--) '7 T iir-C" --A <br /> Facility Street Address: ?ma c , y E I DCA-0d 01L)+ <br /> city: o cL 0 A . '7 5 q3 <br /> Contact Person: _ ' hh-y-/ Phone: <br /> I certify that the only hazardous waste generated by the above referenced Facility is USED <br /> • OIL and that the total amount generated per year is less than 5 tons. <br /> Signed: <br /> A Division of San Joaquin County Health Care Services <br />