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ELIGIBILITY <br />Eligibility includes: a public education element: AND either 1) Provides used oil curbside collection for all residents of the city including multi -family residences; or 2) <br />Ensures that at least one certified used oil collection center is available for every 100,000 residents not served by curbside used oil collection. Please provide the <br />following for only those certified collection centers or curbside collection provider which gives you eligibility: Facility Name, physical address, CIWMB identification <br />number, or date certification application was submitted. List on additional page if necessary. If claiming conditional eligibility, explain the steps to be taken to obtain <br />eligibility during the grant term. <br />Jiffy Lube <br />15015 Hesperian Blvd. <br />San Leandro, CA 94578 <br />CPWMB T: 01-C-02239 <br />Oil Changer 7105 <br />1700 E. 14th St. <br />San Leandro, CA 94577 <br />CIWMB T: ' 01-C-00712 <br />Grand Auto Supply 1#1 <br />1699 E. 14th St. <br />San Leandro, CA 94577 <br />CIWMB T: 01-C-02124 <br />Conditional Eligibility Yes 13 No 13 <br />Certification: <br />Kragen Auto Parts <br />15555 Hesperian Blvd. <br />San Leandro, CA 94579 <br />CIWMB T: 01-C-02468 <br />Kragen Auto Parts <br />2396 E. 14th St. <br />San Leandro, CA 94578 <br />CIWMB 1: 01-C-02548 <br />I declare, under penalty of perjury, that all information submitted for the CIWMB's consideration <br />for allocation of grant funds is true and agate to the best of my knowledge and belief. <br />Date 3 <br />/I <br />of person quthojlzed by resolution <br />Bob Rockett, Public Works Services Director <br />Print name and title of signature authority <br />Attad: ments: Approved Resolution <br />Return form to: CIWMB - Financial Assistance Branch - 8800 Cal Center Drive, MS 19, Sacramento, CA 95826. <br />