Laserfiche WebLink
JAN 7 <br /> �QRp4!N �o COUNTY OF SAN JOAQUIN <br /> OFFICE OF EMERGENCY SERVICES RONALD R.BALDWIN <br /> •' '1� ROOM 610,COURTHOUSE DIRECIOROF <br /> 222 EAST WEBER AVENUE EMERGENCY OPERATIONS <br /> • �T�)padN��• SI'OCKTON,CALIFORNIA 95202 <br /> TELEPHONE(209)468-3962 <br /> HAZARDOUS MATERIALS DIVISION(209)468-3969 <br /> 2002 HAZARDOUS MATERIALS MANAGEMENT PLAN/INVENTORY <br /> CERTIFICATION STATEMENT <br /> (See Reverse Side for Instructions) <br /> 1. Business Identification Page. HMMP Unstaffed Facility Network Attachment and Facility <br /> Map - Check one box only <br /> A. {k] 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/HMW(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 Page) - Check one box only <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 either 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 /> -- vironmental Contact E-Mail-Address-6 -- ---- -- <br /> I understand that false/inaccurate information may make my company liable in an emergency. I <br /> further certify that I 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 Safety Code, Chapter 6.95, Article 1. <br /> Business Name Cal—Sierra Pipe,fnc OESAccount # 9297 <br /> Site Address 30133 S Iii gh,Ay QQ c1-nrkt_nn - CA _ q9219 <br /> Facility Operator/Owner. T,arw 6. Gorham Title Pt <br /> Iraien <br /> Signature ` Date 1/2/02 <br />