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04/19/2002 10:07 2093675401 KNOX AND ASSOCIATES PAGE 05 <br /> Flpr 18 02 08: S9a Joaquin DES 2098-2600 _ _ jp.2 <br /> APR 19 2UU2 <br /> COUNTY OF SAN JOAQUIN TICE OF EMERGENCY SERVICE' <br /> a"a IMa•£o� OFFICE OFBML^RGENCYSERVICES ROLnDti.aALFR'L <br /> r <br /> s ROOM 610,COURTHOUSE D1RrCariR01 <br /> N � 2-22 EAST WEBER AVENUECMCRGG1CV Oe6RnrlUur <br /> STOCKTON.CAmFORMA 95102 <br /> °ski'F 8w"t' 11:LBF'HOYF.(209)363-396: <br /> IrAZARDOU9 MATURIAL"+DL V IS LO"t'-0')+66 7060 <br /> 2002 HAZARDOUS C TE MANACEME <br /> STATEMN TPLAN/INVENTORY <br /> RTI(see Reverse side for Instructions) <br /> 1. B +. as Identific ,Y:: e HMMP Lt is fed Facility Nenvali• At e <br /> l'dlLt <br /> khan Cock one hox only' <br /> A I certify that there have been nu cltangcs to the above listed dxumenrs since <br /> our business's last update or change was submitted. <br /> B ❑ 1 certii'y that there has b ¢ a chanee to one ur luutc of the,above documents <br /> and that either I)appropriate revised hard copy forams,or 2)a complete revised <br /> electronic copy of our Business M Page/H^11?(I-DAMP97'FP3 File)and,if <br /> appropriate,our Unstaffed Attachments(STAFT97.FT311i1e)has/have been <br /> transmuted concurrently with this Certification Statement. <br /> 2hemicai Invert 01v ChemiCa UesCI12Sn Pa„ee) GhpOk one box mil <br /> A I certify that the information contained in the most recently submitted chemical <br /> inventory is complete,accurate,up-to-date,and contains the information <br /> required by Section 11022 of Title 42 of the United States Code• I further <br /> certify that there has been no change in the quantity of any hazardous material <br /> repotted and that no hazardous materials arc being handled that arc not listed. <br /> since <br /> B chem calhnvenc ry.at there limasheen,a subnut ed and either 1)completed Ie in our chemical rani copiehuf ase <br /> Chemical Deyyscription Pages with"Add", ,Delete'eclTonic ,or"Revised'marked <br /> appropriately, <br /> I hit)hats been transmitted with thisstateour mentical <br /> 3, Fnvi nnmerlj Contact F-Mail ddre's if available <br /> ke illy <br /> ble in <br /> fuu emergency- <br /> understandrr certify that 19haveccurate edflhetobove usied dornments ands infoarmatlOnacontnd in the <br /> requirements of <br /> mnat recently submitted clten,icnl inventory and have ensured that it meets the <br /> California Health and Safety Code. Chapter 6.95, Article I. <br /> // OFS Account <br /> guciness Name, 0 2 "N <br /> 9 �5' ccf Y ra CA �i � Z <br /> Sim Address <br /> p f SS or�r�eS —Title <br /> pacility OperuodOwner <br /> Z <br /> Date C/ <br /> Signature <br />