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- - COUNTY OF SAN JOAQUIN JAN 13 2004 4 . OFFICE OF EMERGENCY SERVICES ;•,. i ROOM 610,COURTHOUSE �• .;;o ^';vg (� 222 EAST WEBER AVENUE STOCKTON,CA 95202 TELEPHONE(209)468.3962 vu �, HAZARDOUS MATERIALS DIVISION(209)468-3969 2004 HAZARDOUS MATERIALS MANAGEMENT PLAN AND INVENTORY CERTIFICATION STATEMENT (See Reverse Side for Instructions) 1. Business Identification Page, Hazardous Materials Management Plan, Facility May(s) Certification - Check one box only I certify that there have been no changes to the above listed documents since our business's last update or change was submitted. ❑ I certify that there has been a change to one or more of the above documents and that appropriate revised hard copy forms have been submitted with this Certification Statement. 2. Certification of Chemical Inventory - Check one box only I certify that the information contained in the most recently submitted chemical inventory is complete, accurate, up-to-date, and contains the information required by Section 11022 of Title 42 of the United States Code. I further certify that there has been no change in the quantity of any hazardous material reported and that no hazardous materials are being handled that are not listed. ❑ I certify that there has been a change in my chemical inventory since the last submission and completed hard copies of changed Chemical Description Pages with"Add", "Delete", or"Revised"marked appropria-tely-Niav�eri submittfe—dwitli tTits-certiiication Stateirient. —- -- I understand that false or inaccurate information may make my company liable in an emergency. I further certify that I have reviewed the above listed documents and that the statements checked above constitute an accurate statement. �1 �1 /7 Business Name H A R AERIAL ENTERPRISES.WO. OES Account# 10 6© [ DBA SAN JOAOu1N AIR 12145 N.DEVRIES ROAD Site Address EOnrs 95942 Operator/Owner j A /A k 66�ffM Title She/7;P&?95V,09,67c), Signature