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HAZARDOUS MATERIALS MANAGEMENT PI.ANANVENTORY CERTIFICATION STATEMENT 2002 Instruction Sheet Please review the contents of the Hazardous Materials Management Plan and inventory that you last submitted to the San Joaquin County Office of Emergency Services and follow these instructions. 1 . Changes to your Business Identification Page, Hazardous Materials Management Plan (HMMP),Unstaffed Facility Network Attachment (if applicable), and Facility Map(s) A. If there are no changes to these documents,place a check mark in Box 1 A of the Certification Statement. B. If there have been any changes to one of those documents, then you must submit a hard copy of the revised document completed in its entirety with the corrected information or a complete revised electronic copy of your Business ID PagefflNI IP (HMMP97.FP3) and, if appropriate, Unstaffed Attachments (STAFF97.FP3). Place a check mark in Box 1B of the Certification Statement and transmit revised hard copy forms or an electronic copy of your revised template files concurrently with the Certification Statement. Blank forms or electronic templates are available at the San Joaquin County Office of Emergency Services, 222 E. Weber Avenue, Room 610, Stockton, CA 95202. 2. Changes to your Chemical Inventory (Chemical Description Pages) A. If there are no changes to your chemical inventory including no change in quantities previously reported,place a check mark in Box 2A of the Certification Statement. B. If there has been a change to the information reported for one or more chemicals, please make updates as follows. Submit a completed hard copy of changed/new Chemical Description Page(s) marked"Add', "Delete",or"Revise" as appropriate at the top, or if you are using our electronic templates, transmit a complete revised electronic copy of your current chemical inventory (CHEM97.FP3 File)concurrently with this Certification Statement. 3. Provide the E-Mail address for your Environmental Contact if available. This address may be used by our office to provide comments along with reply deadlines on your submission. It should be an E-Mail address that is routinely checked. NOTE: State law requires that you report a 100% change in the quantity of a previously reported material, any previously undisclosed chemical, or handling changes of a chemical on a new or revised Chemical Description Page. Be sure to update the copy of your HMMP and inventory used by your employees with the same changes. Complete all other information on the Certification Statement, sign it, and send it in with hard copy changes or updated electronic files to the San Joaquin County Office of Emergency Services by the deadline of January 17, 2002. Please note that if you are using our electronic templates and are submitting a corrected HM IP97 or CHEM97 electronic file, you must also submit a col2y of the other file even if it has not had any changes. Always submit both files together along with the STAFF97 file if appropriate. If you need assistance, please call our office at (209) 468-3969.