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FROM : DEL CRSTILLO FOOLS, INC. PHONE NO. : 209+368+0156 <br />3 -1P -oma <br />nQ,,N COUNTY OF SAN JOAQUIN <br />a-rw"p� OFFICE OF F-MISRGENCY SERVICES <br />ROOM 610. COURTHOUSE <br />222 EAST WEBER AVENUE <br />SPOCKTON, CALIFORNIA 95202 <br />/!Sw TELEPHONE (209) 468.3962 <br />HAZARDOUS MATERIALS DIVISION (7(N) 468-3Q69 <br />40 dr. 13 2002 05:00PM P1 <br />�-• W <br />qqq, qol( <br />aoNALPv.a flECENED <br />pFC"IRm F <br />EMrRnm,cy OFFRA't%K 13 2002 <br />I�� �H SAES <br />2002 HAZARDOUS MATERIALS MANAGEMENT PLAN/INVENTORY <br />CERTIFICATION STATEMENT <br />(See Reverse Side for instructions) <br />1. 13asiness identifica ion Page RNIMP Unstaffed Facility Network Attachment. and Facility <br />Ma - !Checli one box only <br />A. I certify that there have been no changes to the above listed documents since <br />our business's last update or change was submitted. <br />$: ]- I certify that thece-hasbeen a change taorie'_or.more ofthe;abave documents <br />and that either 1) appropriate revised'hard copy forms, or 2)'a complete revised <br />electronic copy of our Business ID Page/I-INEVIP (HMMP97.FP3 File) and, if <br />appropriate, our Unstaffed Attachments (STAFF97.FP3 File) haAave been <br />transmitted concurrently with this Certification Statement. <br />2. Chemical Inventory (Chemical Description Page) - Check one box only <br />A. Ut' 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,Sectlon 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 />reported and that no hazardous materials are being handled that are not listed. <br />B. ❑ I certify that there has b a change in our chemical inventory since the last <br />chemical inventory was submitted and dW 1) completed hard copies of <br />Chemical Description Pages with "Add", "Delete', or "Revised' marked <br />appropriately, or 2) a complete revised electronic copy of our chemical <br />inventory (CHEM97 File) has been transmitted with this Statement. <br />Environmental Contact E -Mail Address (if availa111e1 <br />I understand that false/inaccurateinfermatlon may' make my company liable in an 'emergency.. I <br />further certify that 1 have reviewed the above listed documents and information contained in the <br />most recently submitted chemical inventory and have ensured that it meets the requirements of <br />California Health and mSafety Cade, Chapter 6.95, Article 1. ¢gip' <br />Business Nae � E L bqS-T.S LLO �t) its oOES Account S 1J�1(2 LI <br />Site Address Uqbil1G 1 �'Ti e LCt <br />Facility Operator/Owner m i}(L ^ T AMD 7JtrL ensi.Z 1L10 Title_ f"5 <br />(M) <br />Date 3 -/a -O;.1 <br />