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-- - ---- ---- <br /> USED OIL ONLY <br /> Facility Name: J &7-D CY- Ayyr <br /> Facility Street Address: o?�// A/ LUi��6 (r7 <br /> City: lam- OA- 0S-,L27 <br /> Contact Person: Phone:,A--A_ SllL_ <br /> I certify that the only hazardous waste generated by the above referenced Facility is USED <br /> OIL and that the total amoun e_rated per y is less than 5 tons. <br /> Signed: O <br /> A Division of San Joaquin County Health Cate Scrviccs <br />