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May 10 02 11 :25a San Joaquin DES 2OS-460-26002 <br /> MAY 13 %02 <br /> 3FFIGEOFEWERGEfJC4`:�i;,, <br /> COUNTY OF SAN JOAQUIN <br /> 'r Om- CE OF PMB.RGENCY SERVICES nOKAW t.batoww <br /> •� ROOM 610.COMMOUSE nru!�`raa or <br /> 222 LAST V.TBCR AVENUE LMeRGFN4t ORGRAnom <br /> -:' STOCKTON.CAL.IK3RNIA 93202 <br /> TLLRYNONE 1300)4683%2 <br /> HA2191)<7US MATERIALv nlvlaloN(:jr))46a.m4t <br /> 2002 HAZARDOUS MATERIALS MANAGEMENT PLANIINVENTORV <br /> rF..RTIFICATION STATEMENT <br /> (See. Reverie Side for Instructions) <br /> Mag I Suainess Identification Pace. FiMMD t tn<.wfF,+c<r;fid N-`•vrk Attby�ll Inti F,uiiity <br /> - Check one box only <br /> A. O 1 certify that there have been rho changes to the above listed documents since <br /> .�/ otir business's last update or change was submitted. <br /> B• y.� I certify that tlwte leu been a change to one or more of the above documents <br /> and that either I)appropriate revised hard copy forms,or 2)a compiete revised <br /> electronic copy of our$usiness ID Pap'H?W(FASMp97.FP3 File)and,if <br /> appropriate,our Unstaffed Attachments(STAFF97.FY3 File)has/have been <br /> transmitted concurrently with this Certification Statement. <br /> 2. Chemi"I Invendvy / li .mt ial JDC2W Onon Page1- Check y_nIX <br /> A. J certify that the information contained in the most recently submitted chemical <br /> Inventor•is complete,accurate,up-u}date,and contains the information <br /> required by Section 11022 of Title 42 of the tinned States Code. I further <br /> certify that there has been no change in the quantity of any hazardous material <br /> repotted and that no hazardous materials we being handled that are not listed. <br /> B. El I certify that there has been a change in our chemical inventory since the last <br /> cheaucal inventory,was submitted and!<lba 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(CHEM99 File)has been transmitted with this Statement. <br /> 3. Firvironmental Contact E-Mail Address(if available) _- <br /> I understand that falselinaccurate Information may make my company liable In an emergency. J <br /> further certify that I have reviewed the above littad documents and information contsiaed In the <br /> most recently submitted c4emieut inventory and have ensured that It meets the ecquiremants of <br /> California Health and Safety Cordae, Chapter 6.95, Article I- <br /> Business Name Ghc LI1J 66e,G ~ Zfi< DES ACCOLM <br /> Silt Address_.. S7� ���f/L /h'Y .5]7G�7bv/r C¢, T1-2o 7 <br /> FaeilityOperator/OWmer _- /rN S`sivt+.! Tido ~ 4le"IZ-4714 <br /> Signature Due -r-/2�2 <br /> Z0 397d 9££LTLL9T6 LS:60 Z00Z/ZT/50 <br />