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Mar 05 02 11 : 39a Clements Fire 209 7bN N"e P. c <br /> _ Mar 06 02 09: 17a San iaquin DES 209-469--00 P. 2 <br /> 0 204? <br /> tpn,M a COUNTY OF SAN JOAQUIN 01'4A0 ** <br /> - ate os OFPICEOFEMERGENCY SERVICES MWILoe-a.1nwtN /y)y <br /> i- ROOM 610,COURTHOUSE otnu-nxtiR �$ <br /> 222 LAST WFAVENUE ENeaceMc v nPCRATIokS fRNCfS <br /> STOCK ION.CALIFORNIA 95202 <br /> • evr(eoti"w TELEI'NONe(2t1)1 40.196: <br /> I/AZARIxAIS MA I LRIALS DIVISION('W)"9.1%9 <br /> 2002 HAZARDOUS MATERIALS MANAGEMENT PLAN/INVENTORY <br /> CN,KFVFICATIUN STATEMENT <br /> (See Reverse Side for Instructions) <br /> 1. I3usinecc identification Page.HMMP,Unskaffed Facility NetwcnR Ailxhment,and hactlifv <br /> Map - Check one box only <br /> A O 1 certify that there have been no changes to the above fisted documents since <br /> our business's last updine or change was submitted. <br /> D. I certify that there hias ben a change to one or more of the at ove documents <br /> and that either I)approprt <br /> nate revised hard copy forts,Lit 2)a complete revised <br /> electronic copy el our IiucinesS ID Pago/HMMP(HMMP97,FP3 File)and,if <br /> appropriate,our Unstaffed Attachments(STAFF97_FP3 File)has/have been <br /> translmtted concurrently with this Cettiftcation Statement. <br /> 2. Comical lncentory (Chemical Descrplion Page)-Check Due box oniv <br /> A 1 certify that the information contained in the most recently suhmitreA chemical <br /> inventory is complete,accurate,up-to-date,and contain,the mfolmation <br /> required by Section 11022 of Tide 42 of the United States Code i further <br /> certify that thele has been no change in the quantity of any baznrdouc material <br /> reported and that no hazardous materials arc being handled that ate not listed. <br /> D. O 1 certify that there has boort a change in our chemical inventory since the last <br /> chemical inventory was submitted and ei her 1)completed hard copies of <br /> Chemical Description Pages with"Add","Delete",or"Revised"marked <br /> nentrevised <br /> electroinc copy of out is al <br /> vtory(CHEM97 FIhas beenrnsmitted with this Statement <br /> ;{_ F rvnvnnlcntal Contj&LL-It it AddMss fif uvvilabtc) _- <br /> 1 understand that folselinaccurale information may make my company liable in an emergency. I <br /> that I have 1-ic"d 'he above <br /> sted <br /> most <br /> further certify <br /> submitted chemical inventory mail have d <br /> in <br /> haveensuredt d <br /> that it beet athe requi' ee <br /> cmuU ol <br /> recently <br /> California lleait and Safely Code, Chap�ttee\rr 6.95,1 Article 1. <br /> rr1 /i �1'C i OES AeeoUnt a <br /> Huytncs, Name <br /> �Fm✓f1�� Ce -- _— <br /> Site Address <br /> /1 Ida <br /> Facility OperatotfOwner - <br /> ,Y� <br /> • C Date <br /> Si@nanle-, <br />