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SAN JOAQUCOUNTY <br /> RDOUS sERVI <br /> MATERIALS PROGRAM <br /> CES <br /> HAZARDOUS RECEIVED <br /> SANJOAOUIN COUNTY <br /> OFM 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. 1 understand that <br /> false/inaccurate information may contribute to avoidable complications during a hazardous materials <br /> incident. <br /> Nam of Business <br /> EI15Cp DSS iia <br /> Name of Facility opefitor/Owder <br /> Title of Facility Opera /Owner <br /> Signature (yWink) <br /> 1 - 11 - 01 <br /> Date <br /> SIC 12/00 <br />