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COUNTY OF SAN JOAQUIN OFFICE OF EMERGENCY SERVICES RONALD E.BALDWIN r' ROOM 610,COURTHOUSE DIRECrOR OF X 222 EAST WEBER AVENUE REDs STOCKTON,CALIFORNIA 95202 *ciR3'aN TELEPHONE(209)468-3962 JAN -8 2002 HAZARDOUS MATERIALS DIVISION(209)468-3969 2002 HAZARDOUS MATERIALS MANAGEMENT PL 1<7RgVMkERUICB CERTIFICATION STATEMENT (See Reverse Side for Instructions) 1. Business Identification Page, HMMP. Unstaffed Facility Network Attachment and Facility Map - Check one box only A. N-� I certify that there have been no changes to the above listed documents since our business's last update or change was submitted. B. ❑ I certify that there has been a change to one or more of the above documents and that either 1) appropriate revised hard copy forms, or 2) a complete revised electronic copy of our Business ID Page/BACgP (HMMP97.FP3 File) and, if appropriate, our Unstaffed Attachments (STAFF97.FP3 File)has/have been transmitted concurrently with this Certification Statement. 2. Chemical Inventory (Chemical Description Page) - Check one box only A. C3� I certify that the information contained in the most recently submitted chemical inventory is complete, accurate, up-to-date, and contains the information required by Section 11022 of Title 42 of the United States Code. I further certify that there has been no change in the quantity of any hazardous material reported and that no hazardous materials are being handled that are not listed. B. ❑ I certify that there has been a change in our chemical inventory since the last chemical inventory was submitted and either 1)completed hard copies of Chemical Description Pages with "Add", "Delete", or"Revised" marked appropriately, or 2) a complete revised electronic copy of our chemical inventory (CHEM97 File) has been transmitted with this Statement. 3. Environmental Contact E-Mail Address (if available) I understand that false/inaccurate information may make my company liable in an emergency. I further certify that I have reviewed the above listed documents and information contained in the most recently submitted chemical inventory and have ensured that it meets the requirements of California Health �an(d Safety Code, Chapter 6.95, Article 1. Business Name p�t- tC'DOY1Q-,� S �� ^�-� (a OLES•Account# �� Site Address f1V� nL Oyj� &aemm" ipC.C�I ' Q'�"D[' �T(A - 1.1t , C4,L10 Facility Operator/ wnery'rakg Q�C_�tV`Cxler Title OlOrlcy- A�4L3 (PRINT) yea i Signature G/� Date to { l I OI