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t <br /> SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIALS PROGRAM <br /> RECEIVED <br /> APR 3 0 2WI <br /> 0F�sErtcv�cEs <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. v <br /> l I� V 0(f S-Mc '-M <br /> l Name of Business <br /> Name of Facility Operator/Owner <br /> c41 F„(% P1 co <br /> Ti of Facility per for/Ocw\nerK <br /> Signature(in ink) <br /> qlZ-r161 <br /> Date <br /> SJC 12/00 <br />