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SAN JOAQ&COUNTY OFFICE OF EMERGENZ25Y SERVICES <br /> HAZARDOUS MATEjqP@fflVMM RECEIVED <br /> JUL -8 2009 JAN 18 2003 <br /> SAN JOAQUIN UOUNTY <br /> SAN JOAQUIN COUNTY <br /> OrPICEOr=iAEnC=tIC'(SciJICcS <br /> OFFICE OF EMERGENCY SERVICES <br /> DECLARATION OF COMPLETENESS AND ACCURACY <br /> I certify under penalty of law that I have personally reviewed the Hazardous Materials Management Plan <br /> and Inventory submitted by my business and have ensured, to the best of my knowledge, it meets the <br /> requirements of the California Health and Safety Code,Chapter 6.95,Article 1. I understand that <br /> false/inaccurate information may contribute to avoidable complications during a hazardous materials <br /> incident. <br /> � <br /> " ld'hh� �\,, .� V hr n t Name of Business <br /> �+ yWrl a AAD " * <br /> Name of Facility Operator/Owner <br /> Title of Facility Operator/Owner <br /> Signatu (in ink) <br /> Date <br /> SJC 12/03 <br />