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HAZAIWOUS WASTE Category: <br />EXCLUSION <br />SAFETY <br />Date:Effective . - • iii <br />CITY OF • • <br />..)UBLIC WORKS DEPARTMENT, SOLID WASTE DIMSION <br />(209) 937-8827 <br />hrs. <br />hrs. <br />hrs. <br />hrs. <br />0 Disposal Fee (Estimated only; actual disposal cost will be chaped): <br />$ <br />$ <br />$ <br />The responsible undersigned party authorizes the City of Stockton, Public Works, Solid VVaste Division, <br />to proceed with the above work, and agrees to pay the amount indicated above within thirty (30) days <br />after receipt of • invoice. <br />Date: • -• <br />IS iii <br />PLEASE• w • O <br />City of • r• t <br />Public WorksDepartrnet,<• • Waste Division <br />425 N. B Dorado Street, Stockton, CA 95202 <br />