Laserfiche WebLink
REME 2D <br /> COUNTY OF SAN JOAQUIN <br /> F f3 r d <br /> OFFICE <br /> EMERGENCY <br /> SERVICES `DEiC�2 2 2003 <br /> ROOM M O, x/I: <br /> 222 EAST WEBER AVENUE iFMs(;pc,b;fiAuEi: !S 'yriP <br /> ;* STOCKTON,CA 95202 <br /> TELEPHONE(209)468-3962 <br /> • Sl�. }. HAZARDOUS MATERIALS DIVISION(209)468-3969 <br /> 2004 HAZARDOUS MATERIALS MANAGEMENT PLAN AND INVENTORY <br /> CERTIFICATION STATEMENT <br /> (See Reverse Side for Instructions) <br /> 1. Business Identification Page, Hazardous Materials Management Plan, Facilitv <br /> May(s) Certification - Check one box only <br /> Eck I certify that there have been no changes to the above listed documents <br /> since our business's last update or change was submitted. <br /> ❑ I certify that there has been a change to one or more of the above <br /> documents and that appropriate revised hard copy forms have been <br /> submitted with this Certification Statement. <br /> 2. Certification of Chemical Inventory - Check one box only <br /> Eck I certify that the information contained in the most recently submitted <br /> chemical inventory is complete, accurate, up-to-date, and contains the <br /> information required by Section 11022 of Title 42 of the United States <br /> Code. I further certify that there has been no change in the quantity of any <br /> hazardous material reported and that no hazardous materials are being <br /> handled that are not listed. <br /> ❑ I certify that there has been a change in my chemical inventory since the <br /> last submission and completed hard copies of changed Chemical <br /> Description Pages with "Add", "Delete", or"Revised" marked <br /> appropriately have been submitted with this Certification Statement. <br /> I understand that false or inaccurate information may make my company liable in an <br /> emergency. I further certify that I have reviewed the above listed documents and that <br /> the statements checked above constitute an accurate statement. <br /> Business Name El Torito Mexican Restaurant OES Account# 9401 <br /> Site Address 2593 West March Lane, Stockton, CA 95209 <br /> Operator/Owner Freder' k F. Wolfe Title President/CEO/CFO <br /> Signature /Date 12/10/03 <br />