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ITEMS CANNOT BE SOLD HOUSEHOLD HAZARDOUS WASTE COLLECTION FACILITY ITEMS CANNOT BE SOLD <br /> PRODUCT ACCEPTANCE FORM <br /> Liability Waiver Date: <br /> In taking products into my possession, I understand that the San Joaquin County Department of Solid Waste and PaintCare <br /> * do not guarantee that the material inside the container(s)is what it appears to be based on the label on the container(s). <br /> • make no warranties or representations concerning the physical and chemical characteristics of the substances contained in the product(s) ''�► � <br /> * n from use of theproduct(s). <br /> make no warranties or representations concerning the risks to human health and safety or to the environment s wig rQ YOU <br /> * make no warranties or representations concerning the proper handling, use,storage, or other management of the product(s). <br /> Upon taking these products and/or hazardous materials into my possession,I agree to comply with all federal,state,and local laws and regulations pertaining <br /> to the transport,storage,use,disposal and other management of these products. <br /> I further agree to indemnify and hold harmless San Joaquin County, PaintCare, Inc. (including PaintCare's sole member and all member companies),their officers, directors, <br /> agents,volunteers, employees,successors, and assigns from any and all liability,and any and all claims,demands,costs,damages, and expenses of any type whatsoever, <br /> which are in any manner connected to my acceptance,transportation,storage, use,disposal,or other management of these materials. San Joaquin County and PaintCare <br /> make no warranties with respect to any materials and shall not be responsible for any damages stemming from their use. <br /> Print Your Name Signature Zip Code Number of Items Taken <br /> Pool Paint Garden Auto Household Misc. W <br /> 1 LV <br /> 2 o <br /> 3 W <br /> 4 <br /> to <br /> 5 Z a <br /> 6 Q <br /> 7 a <br /> 8 Ln <br /> 9 J <br /> Q <br /> 10 O <br /> 11 I... <br /> 12 <br /> > 13 W <br /> Q 14 F- <br /> 15 <br /> 15 O <br /> Cn 16 LL <br /> 17 0 <br /> X 18 ~ <br /> Ln 19 <br /> 06 20 <br /> .:.a <br />