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CERTIFICATE OF DISPOSALIRECYCLING <br /> San Joaquin County Regional Household Hazardous Waste Program <br /> Ser Joaquin County Household Hazardous Waste Facility <br /> 7850 South R. A Bridgeford Street, Stockton, CA 95206 <br /> Actministrative Office- (209)46b-3066 <br /> Comoirer'n!7"eticr _ _ - <br /> Name fpr1rt,1 Date <br /> o ria T-a�s- - � -� ' rA- bil <br /> Af"ccKft&'ft*phone Number <br /> i W6, 04nally of perjury, that the waste I C%12ftMW3%WA1Ur6 <br /> brought to this famfity was generated by a fesident and <br /> wos nnt generated by 9 business <br /> Chu"" (Iblgat) <br /> Daft <br /> o <br /> .................... ...................................................... ............................................... <br /> T <br /> o be coaaaftd by:4f A i'Fadillty Staff k1amber <br /> CoM.ficatien Statement: <br /> The San Joaquin County Household Hazardous Waste Facility certifies acceptance of the <br /> material referenced on this document. The material has been managed in accordance <br /> with United States Environmentat Protection Agency and State of California Environmental <br /> Prctection Agency waste management regulations. <br /> S18ff'Y*Tb6-Na!0(2r!nl <br /> Env ronmentel Health Reform. Si <br />