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CERTIFICATE OF RECYCLING <br />Conditionally Exempt Small Quantity Generator Program <br />San Joaquin County Household Hazardous Waste Facility r' <br />7850 South R. A Bridgeford Street, Stockton, CA 95206 <br />Administrative Office: 468-3066 Appointments: 800-207-8222 ; ~ <br />Customer Information <br />ny Name <br />Company Representative <br />-- <br />�0o <br />.street Address <br />> >� IV- 14 <br />City/state ip Code lArea <br />cy <br />Code 8 Telephone Number <br />S « A�� Ian <br />i <br />Da% Material Received <br />Material Received <br />Quantity (lb/gal) <br />Date Processed <br />�0o <br />!) 3 C <br />C <br />X )c <br />i <br />ti <br />OLL <br />77 <br />k-� It <br />116' Y <br />Certification Statement: <br />San Joaquin County certifies acceptance of the material referenced on this document. <br />The material has been recycled in accordance with United States Environmental <br />Protection Agency and State of California Environmental Protection Agency waste <br />management regulations. <br />Kimbra Andrews, Hazardous Waste Program Coordinator <br />San Joaquin County Department of Public Works <br />