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..00 <br />COUNTY OF SAN JOAQUIN <br />�qR �a.sgG OFFICE OF EWRGENCY SERVICES RONALD aALDN7N <br />ROOM 610, COURTHOUSE DIRECTOR OF <br />222 EAST WEBER AVENUE W®' <br />STOCKTON, CALIFORNIA 95202 <br />• ����'FS'M�'�' TELEPHONE (209) 468-3962 ,� AN 1. 1 2W2 <br />HAZARDOUS MATERIALS DIVISION (209) 468-3969 <br />urvry <br />2002 HAZARDOUS CERTIFICATION STATEMENT ATERIALS MANAGEMENT PL <br />(See Reverse Side for instructions) <br />2. <br />A. I certify that there have been LtQ 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/HMMP (HMMP97.FP3 File) and, if <br />concurrently <br />Unstaffed Attachments (STAFF97.FP3 File) has/have been <br />transmitted concu rently with this Certification Statement. <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 />1 reported and that no hazardous materials are being handled that are not listed. <br />B. G I certify that there s bee a change in our chemical inventory since the last <br />er <br />chemical inventory was submitted and eith1) 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 />Environmental Contact E -Mail Address (if available) <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 Health6.95, Article 1. <br />Business Name , <br />Site Address-I'�, <br />Facility Operator/ON <br />and Safety Code, Chapter <br />n / P14WA-OJ <br />OES Account # 12 6 <br />Title n 1 <br />4JP''/ Date <br />