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Ras+n., COUNTY OF SAN JOAQUIN <br /> OFFICE OF EMERGENCY SERVICES n <br /> ROOM 610,COURTHOUSE D L5 <br /> 222 EAST WEBER AVENUE D <br /> STOCKTON,CALIFORNIA 95202 <br /> • � t'lpgti��'• <br /> TELEPHONE(209)468-3962 DEC - 8 1998 <br /> HAZARDOUS MATERIALS DIVISION(209)468-3969 <br /> SAN 10AQUIN COUNTY <br /> 1999 HAZARDOUS MATERIALS MANAGEMENT PLA 0 SERVICES <br /> CERTIFICATION STATEMENT <br /> 1. Business Identification Page, HMMP Unstaffed Facility Network Attachment and Facile <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/HM[M[P(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 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.FP3 File)has been transmitted concurrently with this <br /> Certification Statement. <br /> 3. Environmental Contact E-Mail Address(if available): <br /> I understand that false/inaccu ate informatio may make my com ny gable in an emergency. <br /> Business N �i d <br /> Site Address / <br /> Facility Opera)or/Owner 4jdi S Title <br /> / PRI <br /> Signcure Date �� <br />