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a!In COUNTY OF SAN JOAQUIN <br />,ar�n.co <br />_,• • i OFFICE OF EMERGENCY SERVICES <br />mi ROOM 610, COURTHOUSE D L <br />222 EAST WEBER AVENUE <br />••c..; �r • STOCKTON, CALIFORNIA 95202 DEC - 7 19% <br />,ti ° dpi TELEPHONE (209) 468-3962 <br />HAZARDOUS MATERIALS DIVISION (209) 468-3969 Sky ;'IJIN COUNTY <br />--ENCY SERVICES <br />1999 HAZARDOUS MATERIALS MANAGEMENT PLAN/INVENTORY <br />CERTIFICATION STATEMENT <br />Business Identification Page, HMMP, Unstaffed Facility Network Attachment and Facility <br />Map - Check 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 />B . ❑ I certify that there has been a change to one or more of the above documents <br />and that either 1) appropriate revised hard copy forms, or 2) a complete revised <br />electronic copy of our Business ID Page/HNUVIP (HMMP97.FP3 File) and, if <br />appropriate, our Unstaffed Attachments (STAFF97.FP3 File) has/have been <br />transmitted concurrently with this Certification Statement. <br />2. Chemical Inventory (Chemical Description Pagel - Check Box A or B <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 />reported and that no hazardous materials are being handled that are not listed. <br />B . ❑ I certify that there has been a change in our chemical inventory since the last <br />chemical inventory was submitted and ei r 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.FP3 File) has been transmitted concurrently with this <br />Certification Statement. <br />3. Environmental Contact E -Mail Address (if available): <br />I understand that falselinaccurate information may make my company liable in an emergency. <br />Business Name l Ct- 69,S/%C-.0 O ZFW /AS <br />Site Address � N7/ nm(, -G1) L ./Ie <br />Facility Operator/Owner W q k -C 1,1qn?0 br-(- LGu Title <br />(PRIM) <br />�� � : �►7iH<� s . I � a <br />