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SAN J O A Q U I N Environmental Health. Department <br />COUNTY <br />AFFIDAVIT OF FACILITY CLOSURE <br />Facility Name: Bill's Alignment &Brake <br />Facility Address: 469 Moffat Blvd., Ste. A, Manteca, CA. <br />Facility CERS ID: 101-85-027 <br />Facility Closure Date: 1 r? Jr <br />Contact Info for the New Site Owner/Operator: <br />I, the undersigned, hereby affirm the following and attest that all the information is true and <br />correct: <br />1. I am the owner/operator or an authorized representative of the above-named facility <br />2. The facility ceased operations at the above location <br />3. All hazardous waste, hazardous materials, and any residual contamination were removed <br />from the site and transported off-site for proper disposal on _ /0(/Z <br />in compliance with all applicable local, state, and federal regulations. <br />4. All required closure activities have been completed, and final waste records and other <br />supporting evidence of site closure (site photos, etc.) are attached to this affidavit. <br />Signatur <br />Printed Name: <br />Title: <br />Email and Phone Number: <br />