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" ___________________________________________________________________________________________S4VINOMMRMIAUiFAL,ChLDIVISION — <br /> USED OIL ONLY <br /> Facility Name: (2/2 mFOIL/9 (nmz �A,+6 Sim✓ car <br /> Facility Street Address: z f Z S /%Ant P oSA Z� <br /> city: S-rb (,-/C-7-0�Q p <br /> Contact Person: Gc ICI Ciff M/}N Phone: ZQ1- q&n - '! J9 <br /> I certify that the only hazardous waste genera by the above referenced Facility is USED <br /> OIL and that the total amount enerated per ear ' less than 5 tons. jjCCE'VEL) <br /> Signed '64', /,— G <br /> 9 <br /> A Division of San Joaquin County Health Cam Services <br />