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CERTIFICATE W LaISPOSAILMECYCLON© <br />San Joaquit C©liaffilfly AnIcond ElOW®haNd N@Rel74@aga VzgaZttP. Pawam <br />San Joaquin County Household Haxardous Waste Facility <br />MO South R. A Bridgeford StreK Stockton, CA 05208 <br />Administrative Office: (2e) 450-Mti <br />C Atoms'? Informeiltro ___ _ - Mom (print) <br />• <br />DE'le <br />Wiest Addrese -1 <br />Cftr ' : etedla <br />, <br />T ic-CC ( . \ Ct -11 <br />AVeSI Cege 8 fetreMariati tlashir-nr <br />--.2 - • - - --•( <br />- •)..)_. '• , <br />- - <br />1' Jerlam., &rnderponady or palmy, Mat the waste 11 ' <br />bmarght to this faalityw s ganerate.z1 by in meatuTt ami <br />was not generated bya k,117,2i67 as. <br />Cusgosimaln-ROM - <br />_ <br />wegArtat WW1* .. _ <br />Mrcrun? IIP;.),0,2p36;)). Owe prreeses - , <br />/ <br />- ---, <br /> <br />,..-1 / -_•• • - :• - -- • - <br />,,,1„,,,,,,,-„_ fa..„..7„ i-... - ...,,,,,....4,7,.., <br />. -_/.._..._ <br />---4,)„ __IF <br />, g 22 /k - .-, I/ zi 4 , / - .= - - I:4,774T- <br />- - 4 i.-/- Yi .7-1 . . 6,14/ ii • -,,„: ___. _..._.!--. <br />---74-.4-w:----,-- <br />41L- -----1.7 <br />1 <br />71 <br />:. --..--- - .., li <br />1 <br />I. <br />oo ..................... • - - . o •I V. n ' nr, n n -n.anona e ,, .0 a -.a eoe ',a- a.. L. Cr o o - <br />To he owlet-14W Mi..i,Fatillty Sul-Kerner <br />CgnAgeatlion OfMemenk <br />The San Joaquin County 'Household Hazardous Waste Facy cenifies acceptance of the <br />material referenced on this document. The materia has been managed in accordance <br />tAoith United States Environrn Mak Proiection Agency and &ate of California Environ ental <br />Protection Agency aste management regulations. <br />MO Member Siviature: <br />ivieMber Nattd .,-• <br />ghvirbrimentel Health Referreg: <br />L"cenee kuvniatil (at appiNzukga