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USED OIL ONLY <br /> 1 <br /> Facility Name: `"V ► ISL)h _(,d. <br /> Facility Street Address: l 32, <br /> City: 121 c�► <br /> Contact Person: Phone: <br /> I certify that the only hazardous waste generated by the above referenced Facility is USED <br /> OIL and that the total amount genera t r year is less than 5 tons. <br /> Signed <br /> A Division of San Joaquin County Health Care Services <br />