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OFFICE CONSULTATIONS AND ASSISTANCE wage 1 of 1 <br /> COU N7Y OF SAN JOAQUIN <br /> OFFICE OF EMERGENCY SERVICES <br /> ROOM 610, COURTHOUSE <br /> 222 EAST WEBER AVENUE <br /> STOCKTOiN, CALIFORNIA 95202 <br /> TELEPHONE (209) 468-3962 <br /> HAZARDOUS MATERIALS DIVISION <br /> (209) 468-3969 <br /> E-mail: sicoes@co san-ioaquin ca.us <br /> HAZARDOUS MATERIALS MANAGEMENT PLA /INVENTORY <br /> CERTIFICATION STATEMENT <br /> For <br /> -tHL�4'�o BURGER KING #7628 <br /> 01/16/2006 <br /> The above named business certifies that the Business owner/Operator Identification <br /> Page, Hazardous Materials Management Plan, Chemical Description Page(s), and Facility <br /> Map(s) submitted pursuant to Chapter 6.95 of the California Health and Safety Code <br /> are accurate and correct. The above named business further certifies that all hazardous <br /> materials handled in quantities of 55 gallons, 500 pounds, or 200 cubic feet or greater, <br /> unless otherwise exempted by San Joaquin County, are included in the submitted <br /> inventory. This business acknowledges making this certification by checking the box <br /> below labeled "Annual Certification" and submitting this statement to the Office of <br /> Emergency Services. The owner and operators of this business understand that <br /> failure to have accurate information on file with the Office of Emergency <br /> Services may make my company liable in an emergency. <br /> Your Certification has been recorded. <br /> Please print this page for your records. <br /> Thank you. <br /> NOTE: Be sure that the business e-mail address on file with our office is accurate. <br /> Main Menu Logoff_ <br /> http://www.sjoesdata.org/ocs_cert_confirm.lasso 1/16/2006 <br />