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USED OIL ONLY <br /> Facility Name: n'M .. - �N h.G� 717-a ns rA NC i(n1 <br /> Facility Street Address: glo2l 4 . )S-r lCa r_ t7 <br /> c;ty: <br /> 955,ty <br /> Contact Person: Phone• p� - 957 -qpI <br /> I certify that the only hazardous waste generated by the above referenced Facility is USED <br /> OIL and that the total amount generated per year is less than 5 tons. <br /> Signed: <br /> A Division of n Joaquin County Health Care Services <br /> • <br />