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-------------------------------------------------- iML s <br /> USED OIL ONL 1 1 <br /> Facility Name: <br /> l v <br /> • Facility Street Address: <br /> City: <br /> Contact Person: Phone: <br /> I certify that the only hazardous waste generated by the above referenced Facility is USED <br /> OIL and that the total amount Fge erated per year is less than 5 to <br /> Signed: ju k )�k�t <br /> A Division of San Joaquin County Health Care Services <br />