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T1s' <br /> Wa idng for YOU <br /> San Joaquin County Household Hazardous Waste Facility <br /> 1- Date: D �� - �_It - <br /> 2• Name: Jp \ . <br /> Address: QC—A q <br /> City: Zip. I� <br /> 3. Inside City Limits Outside City Limits (check one) <br /> I hereby swear that the waste I am deliverying today was generated in San Joaqin County by a <br /> residence and not in a business endevor. Business waste is a waste generated in the course of <br /> 4. doing business, even if tha usiness is operated out of your home. Business waste also includes <br /> waste gener ed by hurc s, sc ool , government agencies, non-profits, property management or <br /> apartment le an ment, riches and farms and stroage com anies. l <br /> Sin e: 5CA CA <br /> 5. I a delieverin aste fir # i households today. <br /> 6. 1 hav sed useh d Hazardous waste Collection Facility# <br /> 7 1 heard about this program thDHousehold <br /> rcle all that appy) <br /> tl Recycling Guide/ rs <br /> Phone Book Website <br /> Flyer/Mailer <br /> Newspaper Ad/Article Called Solid Waste <br /> name 468-3066 <br /> Other: <br /> (describe) <br /> Word of Mouth <br /> Official Use Only K <br />