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„Q�(y COUNTY OF SAN JOAQUIN <br /> ?g. .coa OFFICE OF EMERGENCY SERVICES RONALD E.BALDWIN <br /> a' ROOM 610,COURTHOUSE DIRECTOR OF <br /> 222 EAST WEBER AVENUE EMERGENCY OPERATIONS <br /> STOCKTON,CALIFORNIA 95202 <br /> • �q�IFba`' TELEPHONE(209)468-3962 <br /> HAZARDOUS MATeRIALS 581VISION(209)468-3969 <br /> January 30. 2004 <br /> ATTN BUSINESS OWNER/ OPERATOR <br /> MID VALLEY PLASTERING <br /> 15300 MCKINLEY AVE <br /> LATHROP, CA 95330 <br /> SUBJECT: HAZARDOUS MATERIALS DISCLOSURE SURVEY <br /> FOR: 15300MCKINLEY AVE,LATHROP <br /> Division 6.95 of the California State Health and Safety Code requires businesses handling <br /> hazardous materials to prepare Hazardous Materials Management Plans (HMMPs)for their <br /> employee's use in an emergency. Businesses must also submit copies of these plans, along with an <br /> annual inventory,to public safety agencies for their use in protecting responders and the public. <br /> The inventory information is also made available to the public under right-to-know provisions of the <br /> law. <br /> Businesses operating in San Joaquin County must disclose to our office whether they are using <br /> hazardous materials in their operations. The attached survey form will allow you to meet this <br /> requirement. Please complete and return this form after reading the information on its reverse side. <br /> Your response is required by State law. This form becomes an official disclosure, or statement of <br /> exemption, and will be kept on file by our office. <br /> Please make a copy of the completed form for your file and return the original survey form, with <br /> original signatures,to the following address by February10,2004. <br /> San Joaquin County OES <br /> Hazardous Materials Division <br /> 222 E. Weber Avenue,Room 610 <br /> Stockton, CA 95202 <br /> If you have questions on this program,please contact OES at(209)468-3969. Your cooperation <br /> and assistance are appreciated. <br /> SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> Enclosure <br /> Rev 10/96 <br />