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GAW,W-1 ti <br /> HAZARDOUS MATERIALS MANAGEMENT PLANANVENTORY <br /> CERTIFICATION STATEMENT <br /> 2002 Instruction Sheet <br /> Please review the contents of the Hazardous Materials Management Plan and inventory that you last <br /> submitted to the San Joaquin County Office of Emergency Services and follow these instructions. <br /> 1. Changes to your Business Identification Page, Hazardous Materials Management Plan <br /> (HMMP),Unstaffed Facility Network Attachment(if applicable), and Facility Map(s) <br /> A. If there are no changes to these documents, place a check mark in Box 1 A of the <br /> Certification Statement. <br /> B. If there have been a=changes to one of those documents, then you must submit a <br /> hard copy of the revised document completed in its entirety with the corrected <br /> information or a complete revised electronic copy of your Business ID Page/HMMP <br /> (HMMP97.FP3) and, if appropriate, Unstaffed Attachments (STAFF97.FP3). Place <br /> a check mark in Box 1B of the Certification Statement and transmit revised hard copy <br /> forms or an electronic copy of your revised template files concurrently with the <br /> Certification Statement. Blank forms or electronic templates are available at the San <br /> Joaquin County Office of Emergency Services, 222 E. Weber Avenue, Room 610, <br /> Stockton, CA 95202. <br /> 2. Changes to your Chemical Inventory (Chemical Description Pages) <br /> A. If there are no changes to your chemical inventory including no change in quantities <br /> previously reported, place a check mark in Box 2A of the Certification Statement. <br /> B. If there has been a change to the information reported for one or more chemicals, <br /> please make updates as follows. Submit a completed hard copy of changed/new <br /> Chemical Description Page(s) marked"Add", "Delete",or"Revise" as appropriate at <br /> the top,or if you are using our electronic templates,transmit a complete revised <br /> electronic copy of your current chemical inventory (CHEM97.FP3 File)concurrently <br /> with this Certification Statement. <br /> 3. Provide the E-Mail address for your Environmental Contact if available. This address may be <br /> used by our office to provide comments along with reply deadlines on your submission. It <br /> should be an E-Mail address that is routinely checked. <br /> NOTE: State law requires that you report a 100% change in the quantity of <br /> a previously reported material, any previously undisclosed <br /> chemical, or handling changes of a chemical on a new or revised <br /> Chemical Description Page. <br /> Be sure to update the copy of your HMMP and inventory used by your employees <br /> with the same changes. Complete all other information on the Certification Statement, sign it, <br /> and send it in with hard copy changes or updated electronic files to the San Joaquin County Office of <br /> Emergency Services by the deadline of January 17, 2002. Please note that if,you are using our <br /> electronic templates and are submitting a corrected HMMP97 or CHEM97 electronic file, you must <br /> also submit a copy of the other file even if it has not had any changes. Always submit both files <br /> together along with the STAFF97 file if appropriate. If you need assistance, please call our office at <br /> (209) 468-3969. <br />