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CERTIFICATE OF DISPOSAL/RECYCLING <br />San Joaquin County Regional Household Hazardous Waste Program <br />San Joaquin County Household Hazardous Waste Facility <br />7850 South R. A Bridgeford Street, Stockton, CA 95206 <br />Administrative Office: (209) 488-3068 <br />Customer Information <br />arr bran) <br />‘'D <br />Dab <br />7-3 -- 2. t Street Address <br />"2t4V‘c. C lestbits213 <br />e ea A4 95 20 <br />Cede 4 llolibbons <br />s d <br />Number <br />0 I 4 IW 2 I (Iodate, penally of pegury, that the waste I brought to this batty was generated by a resident and <br />Was not generated by a business. <br />• <br />"---2.---7 <br /> <br />Malwist Reseivesi <br /> <br />'Quitript <br /> <br />Deb Preatessel <br /> <br />Ce)/1 71 -,4741 //de.4.2 / <br /> <br />Zp.0 /1, <br /> <br />7T32/ <br /> <br />lo bs completed* HPM# Staff Wisrober <br />Certification 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 Environmental Protection Agency and State of California Environmental <br />Protection Agency waste management regulations. <br />Staff Member aturfile_L__,OV---...‹...-11.0,14 01/11-7.. <br />Staff Member Name (print): /111/ / <br />moment& Health <br />elide Liberate Pleb Number if Icabie •