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RECEIVE® <br /> UNIFIED PROGRAM CONSOLIDATED FORM FEB 2 4 2016 <br /> FACILITY INFORMATION <br /> BUSINESS OWNER/OPERATOR IDENTIFICATION ENV <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> mitting this paper version of the Hazardous Materials Business <br /> Plan I acknowledge and approve of the Shasta County Environmental Health Division(SCEHD)transferring this information to the California Environmental Reporting <br /> System(CERS),and editing it on my behalf.I understand the SCEHD will notify me when this information is available on CERS and when any changes to it are made. <br /> SIGNA R�/OPERATORSIGNATED REPRESENTATIVE DATE 134 NAME OF DOCUMENT PREPARER 135 <br /> 02/08/2016 JAMIE CAIN <br /> NAM OF SIGNER(prim) 136 TITLE OF SIGNER 137 <br /> TODD MURRAY MANAGER,DISTRIBUTION OPERATIONS <br />